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Endovascular Therapy for Chronic Mesenteric Ischemia
Open accessAbstract
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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“Two retrospective studies showed a non-significant trend towards lower risk of recurrence with two vessel stenting.”
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Self-citation
Metadata
- 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)
- 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)
- 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
- bronze
- doi.org
- 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 › Nephrology › 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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