Results of Single- and Two-Vessel Mesenteric Artery Stents for Chronic Mesenteric Ischemia
Abstract
Background To describe the outcomes of single- and two-vessel mesenteric artery stents in patients with chronic mesenteric ischemia (CMI). Methods We reviewed 101 patients (41 men and 60 women; mean age, 73 ± 13 years) treated with mesenteric artery stents for atherosclerotic CMI between 1998 and 2008. Clinical data and outcomes were reviewed in patients treated with single superior mesenteric artery (SMA) stent (group A) or two-vessel celiac artery (CA) and SMA stent (group B). Isolated CA stenting was analyzed as a separate group (group C). End-points were taken as differences in morbidity and mortality and freedom from recurrent symptoms and reinterventions. Results There were 61 patients in group A, 24 in group B, and 16 in group C. All three groups had similar demographics, cardiovascular risk factors, and clinical presentation. There were no differences in early mortality (2%, 4%, and 0%), morbidity (18%, 26%, and 12%), and symptom relief (95%, 78%, and 100%) between groups A, B, and C, respectively (p value was not significant). Mean follow-up was 41 ± 17 months. Freedom for reintervention at 1 and 3 years was similar among patients in groups A (86 ± 5% and 50 ± 9%), B (67 ± 11% and 67 ± 11%), and C (63 ± 13% and 63 ± 13%), respectively (p value was not significant). There were no significant differences in freedom from restenosis at 1 and 3 years among patients in groups A (54 ± 7% and 44 ± 9%), B (47 ± 12% and 39 ± 12%), and C (43 ± 13% and 34 ± 13%), respectively. Primary and secondary patency rates at 3 years were 57% and 96% for SMA and 61% and 87% for CA stents, respectively (p value was not significant). CA stent alone was associated with symptom recurrence in 6 of 16 patients (38%), as compared with the recurrence rate of 18% (11 of 61) in patients who underwent SMA stent placement (p = 0.06). Conclusion Two-vessel CA and SMA stenting do not reduce the incidence of recurrent symptoms or reinterventions when compared with single-vessel SMA stents in patients with CMI. CA stent alone carries a high risk of recurrence.
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Another study reported similar re-intervention rates at three years in patients treated with SMA stents (36%) compared with two vessel stenting (33%).
“Another study, however, reported similar re-intervention rates at three years in patients treated with SMA stents (36%) compared with two vessel stenting (33%).”
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- Authors
- Malgor, R. D., Oderich, G. S., McKusick, M. A., Misra, S., Kalra, M., Duncan, A. A., Bower, T. C., & Gloviczki, P.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Oderich, Gustavo S.
- Venue
- Annals of Vascular Surgery
- Publisher
- Elsevier BV
- Published
- 2010-11
- Volume
- 24
- Issue
- 8
- Pages
- 1094-1101
- ISSN
- 0890-5096 (ISSN-L)
- OpenAlex
- W2075961951
- Cited by
- 58
- References
- 26
- Citations by year
- 2025: 5 · 2024: 1 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 8 · 2019: 4 · 2018: 5 · 2017: 7 · 2016: 3 · 2015: 5 · 2014: 2 · 2013: 2 · 2012: 3
- FWCI
- 2.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Vascular Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
- Health Sciences › Medicine › Surgery › Vascular anomalies and interventions
- Keywords
- chronic mesenteric ischemia, mesenteric artery stenting, atherosclerosis, restenosis, reintervention, stent patency, symptom recurrence, morbidity and mortality, endovascular treatment outcomes, reintervention-free survival
- MeSH terms
- Aged, Aged, 80 and over, Celiac Artery, Female, Humans, Ischemia, Male, Mesenteric Arteries, Mesenteric Vascular Occlusion, Middle Aged, Recurrence, Retrospective Studies, Risk Factors, Time Factors, Vascular Diseases, Vascular Patency, Stents, Chi-Square Distribution, Proportional Hazards Models, Treatment Outcome, Kaplan-Meier Estimate, Endovascular Procedures, Mesenteric Ischemia
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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