Chronic Mesenteric Ischemia: Diagnosis and Treatment
Open accessAbstract
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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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 measuredMRA 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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Chronic mesenteric ischemia: Diagnosis & management
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- Authors
- Hohenwalter, E.
- Affiliations
- Medical College of Wisconsin (US)
- Corresponding author
- Hohenwalter, Eric
- Venue
- Seminars in Interventional Radiology
- Publisher
- Georg Thieme Verlag KG
- Published
- 2009-11-17
- Volume
- 26
- Issue
- 04
- Pages
- 345-351
- ISSN
- 0739-9529 (ISSN-L)
- 1098-8963
- PMC
- PMC3036470
- 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
- bronze
- doi.org
- 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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