Cited by 79Abdominal vascular conditions and treatmentsAortic Thrombus and EmbolismVascular anomalies and interventions

Chronic Mesenteric Ischemia: Diagnosis and Treatment

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Hohenwalter, Eric·2009·Seminars in Interventional Radiology

Abstract

Chronic mesenteric ischemia is a rare condition, generally characterized by postprandial abdominal pain. Although chronic mesenteric ischemia accounts for only a small percentage of all mesenteric ischemic events, it can have significant clinical consequences. There are multiple etiologies; however, the most common cause is atherosclerosis. The diagnosis of chronic mesenteric ischemia requires a high clinical index of suspicion. An imaging study can confirm the presence of a stenosis or occlusion involving the mesenteric vessels in patients who are suspected of having chronic mesenteric ischemia. The diagnosis is usually late in its course due to the slow progression of disease and the abundance of mesenteric collaterals. Because of the extensive collateral network, usually at least two of the three visceral vessels need to be affected before patients develop symptoms. Treatment is necessary to avoid progression to bowel ischemia and infarction. Once a diagnosis of chronic mesenteric ischemia is made, treatment options include open surgical revascularization and endovascular revascularization.

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Crossref · 10.1055/s-0029-1242198

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  • Gadolinium-enhanced MRA is highly sensitive in detecting stenosis at the origin of CA, SMA and IMA.

    “Gadolonium-enhanced MRA is highly sensitive in detecting stenosis at the origin of CA, SMA and IMA.”

    From Ischemic bowel disease in 2021. (2021) · cites this paper as [81]

    The Magnetic Resonance Imaging/MRA section (page unavailable) calls MRI/MRA a good noninvasive technique for evaluating mesenteric stenoses. It does not specify gadolinium enhancement or high sensitivity at the origins of all three arteries; it cautions that MRA may not accurately evaluate the inferior mesenteric artery. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • MRA may not be able to evaluate the IMA well.

    “One disadvantage of MRA is that it may not be able to evaluate the IMA well[81].”

    From Ischemic bowel disease in 2021. (2021) · cites this paper as [81]

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Research works printed but not linked: 2

  1. Goodman GH. Angina abdominus. Am J Med Sci 1918; 155:524-528
  2. Ujiki M, Kibbe MR. Mesenteric ischemia. Perspect Vasc Surg Endovasc Ther 2005;17:309-318

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Authors
Hohenwalter, E.
Affiliations
Medical College of Wisconsin (US)
Corresponding author
Hohenwalter, Eric
Venue
Seminars in Interventional Radiology
Published
2009-11-17
Volume
26
Issue
04
Pages
345-351
ISSN
  • 0739-9529 (ISSN-L)
  • 1098-8963
OpenAlex
W1963767333
Cited by
79
References
17
Citations by year
2026: 6 · 2025: 11 · 2024: 6 · 2023: 9 · 2022: 5 · 2021: 4 · 2020: 3 · 2019: 8 · 2018: 8 · 2017: 5 · 2016: 5 · 2015: 4 · 2014: 2 · 2013: 2 · 2012: 1
FWCI
0.34
Type
journal article
Language
en
Open access
Locations
  • Seminars in Interventional Radiology (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Thrombus and Embolism
  • Health Sciences › Medicine › Surgery › Vascular anomalies and interventions
Keywords
chronic mesenteric ischemia, mesenteric ischemia, postprandial abdominal pain, intestinal ischemia, bowel infarction, surgical revascularization, endovascular revascularization, diagnosis, treatment

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