[Stenting in the treatment of chronic mesenteric ischemia: technical and clinical success rates]
| Autor: | P, Heiss, N, Zorger, I, Kaempfe, E M, Jung, K, Pfister, C, Paetzel, S, Feuerbach, T, Herold |
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| Jazyk: | němčina |
| Rok vydání: | 2009 |
| Předmět: |
Adult
Aged 80 and over Male Angiography Digital Subtraction Middle Aged Survival Analysis Intestines Ischemia Chronic Disease Mesenteric Vascular Occlusion Retreatment Image Processing Computer-Assisted Humans Female Stents Splanchnic Circulation Colitis Ischemic Angioplasty Balloon Aged Retrospective Studies |
| Zdroj: | RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin. 180(10) |
| ISSN: | 1438-9029 |
| Popis: | To evaluate the technical and clinical success rates of percutaneous stent revascularization in the treatment of chronic mesenteric ischemia (CMI).17 patients (12 female) with typical symptoms of CMI were treated by percutaneous stent placement for stenoses of the splanchnic arteries (celiac trunk; superior mesenteric artery, SMA; inferior mesenteric artery, IMA). The primary and secondary technical success, primary and secondary clinical success, and the long-term clinical outcome were determined.A total of 24 stents were implanted in 21 splanchnic arteries (12 stents in the celiac trunk, 11 in the SMA and 1 in the IMA). The primary technical success rate was 91% (19/21 arteries), the secondary technical success rate was 95% (21/22 arteries). Clinical follow-up was available for 16 patients. The primary clinical success rate was 81% (13/16 patients). Following two secondary interventions, the secondary clinical success rate was 94% (15/16 patients). Long-term clinical success was achieved in 15 of 16 patients (94%) with a mean follow-up of 26 months. One patient died within 30 days of the intervention and two patients demonstrated major complications (1 dissection, 1 stent dislocation). None of the patients required surgical revascularization and none of the patients died due to recurrent mesenteric ischemia.Percutaneous stent placement for the treatment of CMI can be performed with a high technical and clinical success rate as well as an excellent long-term clinical outcome. |
| Databáze: | OpenAIRE |
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