Inferior mesenteric artery stenting as a novel treatment for chronic mesenteric ischemia in patients with an occluded superior mesenteric artery and celiac trunk
Open accessAbstract
INTRODUCTION: Chronic mesenteric ischemia (CMI) is a challenging problem, with revascularization the mainstay of treatment. Management of CMI is especially challenging in the patient with superior mesenteric artery (SMA) and celiac artery (CA) occlusions. REPORT: We report a case series of four patients with chronic mesenteric ischemia who were not candidates for CA or SMA revascularization who were successfully treated with inferior mesenteric artery (IMA) angioplasty and stent placement to improve collateral circulation and palliate symptoms. DISCUSSION: To our knowledge, this is the largest case series to date reporting the use of an IMA stent to improve collateral circulation in patients with CMI.
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Evidence for the effectiveness of angioplasty and stenting of the IMA is limited to three case series comprising 17 patients with successful results.
“Evidence for the effectiveness of angioplasty and stenting of the IMA is limited to three case series comprising 17 patients with successful results.”
From Editor's Choice - European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Diseases of the Mesenteric and Renal Arteries and Veins. (2025) · cites this paper as [64]
The Report describes four patients successfully treated with IMA angioplasty and stenting, and the Discussion mentions a separate German group’s successful three-patient series. The paper does not state that the evidence consists of three case series totaling 17 patients, so those counts are unsupported by this source. No page numbers are available in our copy. (LLM, conf=0.88)
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Cites
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- Authors
- Wohlauer, M., Kobeiter, H., Desgranges, P., Becquemin, J. P., & Cochennec, F.
- Affiliations
- University of Colorado Anschutz (US)
- Centre Hospitalier Universitaire Henri-Mondor (FR)
- Corresponding author
- Wohlauer, M.
- Venue
- EJVES Extra
- Publisher
- Elsevier BV
- Published
- 2014-03
- Volume
- 27
- Issue
- 3
- Pages
- e21-e23
- ISSN
- 1533-3167 (ISSN-L)
- PMC
- PMC4049346
- OpenAlex
- W2099089705
- Cited by
- 19
- References
- 4
- Citations by year
- 2025: 2 · 2023: 1 · 2022: 3 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 3 · 2015: 1 · 2014: 4
- FWCI
- 2.65
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- EJVES Extra (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of General Medical Sciences (P50GM049222, T32GM008315)
- 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, superior mesenteric artery occlusion, celiac trunk occlusion, collateral circulation, mesenteric revascularization
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