Role for Endovascular Therapy in Chronic Mesenteric Ischemia

Autor: Romaric Loffroy, Eric Steinmetz, Boris Guiu, Valérie Molin, Benjamin Kretz, Alice Gagnaire, Olivier Bouchot, Jean-Pierre Cercueil, Roger Brenot, Denis Krausé
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Zdroj: Canadian Journal of Gastroenterology, Vol 23, Iss 5, Pp 365-373 (2009)
Druh dokumentu: article
ISSN: 0835-7900
DOI: 10.1155/2009/249840
Popis: Chronic mesenteric ischemia is a rare condition that is caused by stenosis or occlusion of the mesenteric arteries and usually manifests as abdominal pain. While surgical revascularization has been the standard treatment for symptomatic patients, recent advances in interventional devices and techniques have made endovascular treatment feasible and effective. Percutaneous transluminal angioplasty with stent placement is now recognized as a minimally invasive means of obtaining good long-term results with an acceptable recurrence rate; consequently, the technique is suggested for the primary treatment of chronic mesenteric ischemia. The present article discusses the indications and principles of endovascular treatment, and reviews the literature, with emphasis on short- and long-term outcomes, particularly morbidity and mortality rates.
Databáze: Directory of Open Access Journals