Influence of complete revascularization on chronic mesenteric ischemia
Abstract
Complete revascularization for chronic intestinal ischemia is controversial. Fifty-eight patients (119 arteries) underwent mesenteric revascularization between 1981 and 1988. There were 46 women and 12 men (mean age: 63 years). Sixty percent of patients had three-vessel disease. Twenty-one patients underwent concomitant aortic reconstruction. Operative mortality was 10%. Four of the six deaths occurred in patients undergoing aortic surgery. Late graft failure occurred in five patients (10%). Five-year survival for patients with three-vessel involvement who underwent three-vessel repair was 73%, compared with 57% for two-vessel repair and 0% for one-vessel repair (p = NS). Similarly, graft patency in patients with three-vessel disease was highest in those patients who had complete revascularization (90%, 54%, and 0%, respectively) (p = NS). We conclude that increased graft patency and survival in patients with three-vessel disease was most frequent with complete revascularization. Diseased inferior mesenteric arteries should be repaired if feasible. Concomitant aortic operations should be avoided if possible.
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At high-volume centers, CMI surgical revascularization has had operative mortality as high as 12%.
“Results from these relatively high volume centers of excellence have operative mortality up to 12%.1–7”
From Mesenteric revascularization: management and outcomes in the United States, 1988-2006 (2009) · cites this paper as [6]
Cites
Nonparametric Estimation from Incomplete Observations
Kaplan, E. L., & Meier, P. (1992) · Springer series in statistics · doi:10.1007/978-1-4612-4380-9_25 · Cited by 45,232 · see citing works
Nonparametric Estimation from Incomplete Observations
Kaplan, E. L., & Meier, P. (1958) · Journal of the American Statistical Association · doi:10.1080/01621459.1958.10501452 · Cited by 39,158 · see citing works
Asymptotically Efficient Rank Invariant Test Procedures
Peto, R., & Peto, J. (1972) · Journal of the Royal Statistical Society. Series A (General) · doi:10.2307/2344317 · Cited by 3,393 · see citing works
ABDOMINAL PAIN OF VASCULAR ORIGIN
Dunphy, J. E. (1936) · The American Journal of the Medical Sciences · doi:10.1097/00000441-193607000-00014 · Cited by 194 · see citing works
The Pattern of Arteriosclerotic Narrowing of the Celiac and Superior Mesenteric Arteries
Derrick, J. R., POLLARD, H. S., & Moore, R. M. (1959) · Annals of Surgery · doi:10.1097/00000658-195905000-00009 · Cited by 172 · see citing works
Surgical management of chronic intestinal ischemia: a reappraisal.
Hollier, L. H., Bernatz, P. E., Pairolero, P. C., Payne, W. S., & Osmundson, P. J. (1981) · PubMed · Cited by 155 · see citing works
Self-citationRevascularization Methods in Chronic Visceral Ischemia Caused by Atherosclerosis
Stoney, R. J., Ehrenfeld, W. K., & Wylie, E. J. (1977) · Annals of Surgery · doi:10.1097/00000658-197710000-00008 · Cited by 133 · see citing works
Durability of endarterectomy and antegrade grafts in the treatment of chronic visceral ischemia
Rapp, J. H., Reilly, L. M., Qvarfordt, P. G., Goldstone, J., Ehrenfeld, W. K., & Stoney, R. J. (1986) · Journal of Vascular Surgery · doi:10.1016/0741-5214(86)90045-5 · Cited by 130 · see citing works
Surgical treatment of chronic mesenteric arterial insufficiency
Rheudasil, J. M., Stewart, M. T., Schellack, J. V., Smith, R. B., Salam, A. A., & Perdue, G. D. (1988) · Journal of Vascular Surgery · doi:10.1016/0741-5214(88)90117-6 · Cited by 122 · see citing works
CRAWFORD, E. S., Gc, M., Ho, M., & Roehm, J. O. F. (1977) · PubMed · Cited by 90 · see citing works
Percutaneous transluminal angioplasty in the treatment of abdominal angina
Golden, D., Ring, E., McLean, G. K., & Freiman, D. B. (1982) · American Journal of Roentgenology · doi:10.2214/ajr.139.2.247 · Cited by 85 · see citing works
Treatment of chronic visceral ischemia
Baur, G. M., Millay, D. J., Taylor, L. M., & Porter, J. M. (1984) · The American Journal of Surgery · doi:10.1016/0002-9610(84)90301-5 · Cited by 81 · see citing works
Reiner, L., Jimenez, F. A., & Rodriguez, F. L. (1963) · American Heart Journal · doi:10.1016/0002-8703(63)90035-8 · Cited by 80 · see citing works
Chronic intestinal ischemia: Diagnosis and therapy
Stanton, P. E., Hollier, P. A., Seidel, T. W., Rosenthal, D., Clark, M., & Lamis, P. A. (1986) · Journal of Vascular Surgery · doi:10.1016/0741-5214(86)90226-0 · Cited by 74 · see citing works
Mikkelsen, W. P., & Zaro, J. A. (1959) · New England Journal of Medicine · doi:10.1056/nejm195904302601804 · Cited by 61 · see citing works
Hemodynamic basis of the pain of chronic mesenteric ischemia
Poole, J. W., Sammartano, R. J., & Boley, S. J. (1987) · The American Journal of Surgery · doi:10.1016/0002-9610(87)90809-9 · Cited by 60 · see citing works
Chronic Mesenteric Arterial Insufficiency
McCOLLUM, C. H., GRAHAM, J. M., & DeBakey, M. E. (1976) · Southern Medical Journal · doi:10.1097/00007611-197610000-00006 · Cited by 49 · see citing works
Surgical treatment of abdominal angina: review of 25 patients.
Reul, G. J., Wukasch, D. C., Sandiford, F. M., Chiarillo, L., Hallman, G. L., & Cooley, D. A. (1974) · PubMed · Cited by 49 · see citing works
Recent Trends in the Diagnosis and Management of Chronic Intestinal Ischemia
Hallett, J. W., James, M. E., Ahlquist, D. A., Larson, M. V., McAfee, M. K., & Cherry, K. J. (1990) · Annals of Vascular Surgery · doi:10.1007/bf02001366 · Cited by 46 · see citing works
Self-citationHERTZER, N. R., Beven, E. G., & Humphries, A. W. (1977) · PubMed · Cited by 44 · see citing works
Progress in chronic mesenteric arterial ischemia.
MacFarlane, S. D., & Hg, B. (1989) · PubMed · Cited by 29 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Contemporary management of acute mesenteric ischemia: Factors associated with survival
Park, W. M., Gloviczki, P., Cherry, K. J., Hallett, J. W., Bower, T. C., Panneton, J. M., Schleck, C., Ilstrup, D., Harmsen, W. S., & Noel, A. A. (2002) · Journal of Vascular Surgery · doi:10.1067/mva.2002.120373 · Cited by 463 · see citing works
Self-citationMesenteric revascularization: management and outcomes in the United States, 1988-2006
Schermerhorn, M. L., Giles, K. A., Hamdan, A. D., Wyers, M. C., & Pomposelli, F. B. (2009) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2009.03.004 · Cited by 311 · see citing works
Kougias, P., Lau, D., El Sayed, H. F., Zhou, W., Huynh, T. T., & Lin, P. H. (2007) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2007.04.045 · Cited by 303 · see citing works
Chronic mesenteric ischemia: open surgery versus percutaneous angioplasty and stenting
Kasirajan, K., O'Hara, P. J., Gray, B. H., Hertzer, N. R., Clair, D. G., Greenberg, R. K., Krajewski, L. P., Beven, E. G., & Ouriel, K. (2001) · Journal of Vascular Surgery · doi:10.1067/mva.2001.111808 · Cited by 275 · see citing works
Current results of open revascularization for chronic mesenteric ischemia: a standard for comparison
Park, W. M., Cherry, K. J., Chua, H. K., Clark, R. C., Jenkins, G., Harmsen, W. S., Noel, A. A., Panneton, J. M., Bower, T. C., Hallett, J. W., et al. (2002) · Journal of Vascular Surgery · doi:10.1067/mva.2002.123753 · Cited by 203 · see citing works
Self-citationRevascularization of the superior mesenteric artery alone for treatment of intestinal ischemia
Foley, M. I., Moneta, G. L., Abou-Zamzam, A. M., Edwards, J. M., Taylor, L. M., Yeager, R. A., & Porter, J. M. (2000) · Journal of Vascular Surgery · doi:10.1067/mva.2000.107314 · Cited by 181 · see citing works
WAYNEJOHNSTON, K., LINDSAY, T., WALKER, P., & KALMAN, P. (1995) · Surgery · doi:10.1016/s0039-6060(05)80002-9 · Cited by 159 · see citing works
Multidetector CT Angiography in the Diagnosis of Mesenteric Ischemia
Horton, K. M., & Fishman, E. K. (2007) · Radiologic Clinics of North America · doi:10.1016/j.rcl.2007.03.010 · Cited by 158 · see citing works
Mesenteric stenting for chronic mesenteric ischemia
Brown, D. J., Schermerhorn, M. L., Powell, R. J., Fillinger, M. F., Rzucidlo, E. M., Walsh, D. B., Wyers, M. C., Zwolak, R. M., & Cronenwett, J. L. (2005) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2005.03.054 · Cited by 151 · see citing works
Chronic mesenteric ischemia: Clinical practice guidelines from the Society for Vascular Surgery
Huber, T. S., Björck, M., Chandra, A., Clouse, W. D., Dalsing, M. C., Oderich, G. S., Smeds, M. R., & Murad, M. H. (2021) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2020.10.029 · Cited by 152 · see citing works
Long-term outcome after mesenteric artery reconstruction: a 37-year experience
Cho, J.-S., Carr, J. A., Jacobsen, G., Shepard, A. D., Nypaver, T. J., & Reddy, D. J. (2002) · Journal of Vascular Surgery · doi:10.1067/mva.2002.118593 · Cited by 145 · see citing works
Endovascular treatment of stenotic and occluded visceral arteries for chronic mesenteric ischemia
Sarac, T. P., Altinel, O., Kashyap, V., Bena, J., Lyden, S., Sruvastava, S., Eagleton, M., & Clair, D. (2008) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2007.11.046 · Cited by 145 · see citing works
Update in management of mesenteric ischemia
Chang, R. W. (2006) · World Journal of Gastroenterology · doi:10.3748/wjg.v12.i20.3243 · Cited by 132 · see citing works
INTESTINAL (MESENTERIC) VASCULOPATHY I
Cappell, M. S. (1998) · Gastroenterology Clinics of North America · doi:10.1016/s0889-8553(05)70033-9 · Cited by 127 · see citing works
Percutaneous Management of Chronic Mesenteric Ischemia: Outcomes after Intervention
Landis, M. S., Rajan, D. K., Simons, M. E., Hayeems, E. B., Kachura, J. R., & Sniderman, K. W. (2005) · Journal of Vascular and Interventional Radiology · doi:10.1097/01.rvi.0000171697.09811.0e · Cited by 104 · see citing works
Intermediate-term outcomes of endovascular treatment for symptomatic chronic mesenteric ischemia
Peck, M. A., Conrad, M. F., Kwolek, C. J., LaMuraglia, G. M., Paruchuri, V., & Cambria, R. P. (2010) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2009.06.064 · Cited by 104 · see citing works
Durability of antegrade synthetic aortomesenteric bypass for chronic mesenteric ischemia
Jimenez, J. G., Huber, T. S., Ozaki, C. K., Flynn, T. C., Berceli, S. A., Lee, W. A., & Seeger, J. M. (2002) · Journal of Vascular Surgery · doi:10.1067/mva.2002.124377 · Cited by 90 · see citing works
Management of Chronic Mesenteric Ischemia. The Role of Endovascular Therapy
Kougias, P., El Sayed, H. F., Zhou, W., & Lin, P. H. (2007) · Journal of Endovascular Therapy · doi:10.1583/07-2102.1 · Cited by 71 · see citing works
Long-term outcomes of endoluminal therapy for chronic atherosclerotic occlusive mesenteric disease
Lee, R. W., Bakken, A. M., Palchik, E., Saad, W. E., & Davies, M. G. (2008) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2007.09.019 · Cited by 60 · see citing works
Results of Single- and Two-Vessel Mesenteric Artery Stents for Chronic Mesenteric Ischemia
Malgor, R. D., Oderich, G. S., McKusick, M. A., Misra, S., Kalra, M., Duncan, A. A., Bower, T. C., & Gloviczki, P. (2010) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2010.07.001 · Cited by 58 · see citing works
Self-citationChronic Mesenteric Ischemia: Diagnosis and Treatment
Char, D., & Hines, G. (2001) · Heart Disease · doi:10.1097/00132580-200107000-00005 · Cited by 22 · see citing works
Silva, J. A., & White, C. J. (2013) · Primary Care: Clinics in Office Practice · doi:10.1016/j.pop.2012.11.007 · Cited by 20 · see citing works
- Authors
- McAfee, M. K., Cherry, K. J., Naessens, J. M., Pairolero, P. C., Hallett, J. W., Gloviczki, P., & Bower, T. C.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Cherry, Kenneth J.
- ORCID
- Naessens, James M.
- Venue
- The American Journal of Surgery
- Publisher
- Elsevier BV
- Published
- 1992-09
- Volume
- 164
- Issue
- 3
- Pages
- 220-224
- ISSN
- 0002-9610 (ISSN-L)
- OpenAlex
- W2001295663
- Cited by
- 135
- References
- 21
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 2 · 2018: 1 · 2017: 5 · 2016: 3 · 2015: 3 · 2014: 4 · 2013: 3 · 2012: 7
- FWCI
- 1.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of 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 › Infectious Aortic and Vascular Conditions
- Keywords
- chronic mesenteric ischemia, mesenteric revascularization, complete revascularization, three-vessel coronary artery disease, graft patency, graft failure, five-year survival, inferior mesenteric artery, aortic reconstruction, postoperative mortality
- MeSH terms
- Adult, Aged, Aged, 80 and over, Aorta, Blood Vessel Prosthesis, Chronic Disease, Coronary Disease, Endarterectomy, Female, Follow-Up Studies, Graft Rejection, Humans, Ischemia, Male, Mesentery, Middle Aged, Postoperative Complications, Risk Factors, Vascular Patency, Vascular Surgical Procedures, Survival Rate
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