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Cited by 157Abdominal vascular conditions and treatmentsRenal and Vascular PathologiesPeripheral Artery Disease Management

Endovascular Therapy for Chronic Mesenteric Ischemia

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Silva, Jose A., White, Christopher J., Collins, Tyrone J., Jenkins, J. Stephen, Andry, Malcolm E., Reilly, John P., Ramee, Stephen R.·2006·Journal of the American College of Cardiology
DOI 10.1016/j.jacc.2005.10.056
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Abstract

Objectives We sought to describe the outcomes of a consecutive series of patients with chronic mesenteric ischemia (CMI) who were treated with percutaneous stent revascularization. Background Historically, the treatment for CMI has been surgical revascularization. However, surgery carries a significant procedural complication rate and mortality. Methods Fifty-nine consecutive patients with CMI underwent stent placement in 79 stenotic (>70%) mesenteric arteries. All patients had clinical follow-up and 90% had anatomical follow-up with angiography (computed tomography or conventional) or ultrasound at > or =6 months after the procedure. Results Procedural success was obtained in 96% (76 of 79 arteries) and symptom relief occurred in 88% (50 patients). At a mean follow-up of 38 +/- 15 months (range, 6 to 112 months), 79% of the patients remained alive, and 17% (n = 10) experienced a recurrence of symptoms. Angiography or ultrasound obtained at 14+/- 5 months after the procedure demonstrated a restenosis rate of 29% (n = 20). All patients with recurrent symptoms had angiographic in-stent restenosis and were successfully revascularized percutaneously. Conclusions Percutaneous stent placement for the treatment of CMI can be performed with a high procedural success and a low complication rate. The long-term freedom from symptoms and vascular patency are comparable with surgical results. The inherent lower procedural morbidity and mortality makes the endovascular approach the preferred revascularization technique for these patients.

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Authors
Silva, J. A., White, C. J., Collins, T. J., Jenkins, J. S., Andry, M. E., Reilly, J. P., & Ramee, S. R.
Affiliations
Ochsner Medical Center (US)
ORCID
Venue
Journal of the American College of Cardiology
Publisher
Elsevier BV
Published
2006-03
Volume
47
Issue
5
Pages
944-950
ISSN
0735-1097 (ISSN-L)
DOI
10.1016/j.jacc.2005.10.056
OpenAlex
W2062115246
Cited by
157
References
27
Citations by year
2026: 2 · 2025: 4 · 2024: 2 · 2023: 6 · 2022: 1 · 2021: 3 · 2020: 8 · 2019: 5 · 2018: 5 · 2017: 7 · 2016: 8 · 2015: 6 · 2014: 5 · 2013: 8 · 2012: 12
FWCI
15.45
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of the American College of Cardiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal and Vascular Pathologies
  • Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
Keywords
chronic mesenteric ischemia, mesenteric artery stenosis, percutaneous stent placement, endovascular revascularization, in-stent restenosis, symptom recurrence, long-term outcomes, vascular patency
MeSH terms
Aged, Chronic Disease, Female, Follow-Up Studies, Humans, Ischemia, Male, Mesentery, Middle Aged, Radiography, Stents, Angioplasty

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