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Cited by 105Abdominal vascular conditions and treatmentsRenal and Vascular PathologiesPeripheral Artery Disease Management

Percutaneous Management of Chronic Mesenteric Ischemia: Outcomes after Intervention

Landis, Mark S., Rajan, Dheeraj K., Simons, Martin E., Hayeems, Eran B., Kachura, John R., Sniderman, Kenneth W.·2005·Journal of Vascular and Interventional Radiology
DOI 10.1097/01.rvi.0000171697.09811.0e
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Abstract

Purpose To assess the efficacy and durability of percutaneous transluminal angioplasty (PTA)/stent placement for treatment of chronic mesenteric ischemia (CMI).Materials and methods A retrospective review of patients treated from January 1986 to August 2003 was conducted. Twenty-nine patients (mean age, 62 years) were treated for clinical symptoms consistent with CMI. Clinical diagnosis was verified with angiographic assessment and PTA with or without stent placement was performed based on angiographic and/or pressure gradient findings. Outcomes were estimated with the Kaplan-Meier method.Results A total of 63 interventions were performed in 29 patients during the study period. Of these 63 interventions, 46 PTA and 17 stent implantation procedures were performed. Thirty-four interventions were performed for SMA stenosis/occlusion, 17 interventions for celiac artery stenosis/occlusion, and four interventions were performed on aorto-mesenteric graft stenoses. Technical success was 97%, and clinical success (defined as clinical resolution of symptoms) was 90% (26 of 29 patients). Mean duration of follow-up was 28.3 months. Primary patency for all interventions at 3, 6, and 12 months was 82.7% (95% CI: 68.7-96.7), 78.9% (66.7-91.1), and 70.1% (55.1-85.6), respectively. Primary assisted patency for all interventions at 3, 6, and 12 months was 87.9% (79.0-95.3), 87.9% (79.2-95.1), and 87.9% (77.3-98.3), respectively. An average of 1.9 interventions per patient was required. One major complication occurred (3.4%). There were three minor complications (10.3%).Conclusions Percutaneous intervention for CMI is safe with durable early and midterm clinical success. However, repeated intervention is often required for improved primary assisted patency.

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  • Percutaneous endovascular treatment (PEVT) has high technical success (97%) as well as clinical success (90%) in properly selected cases.

    “PEVT has high technical success (97%) as well as clinical success i.e. resolution of clinical symptoms (90%) in properly selected cases[118].”

    From Ischemic bowel disease in 2021. (2021) · cites this paper as [118]

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Authors
Landis, M. S., Rajan, D. K., Simons, M. E., Hayeems, E. B., Kachura, J. R., & Sniderman, K. W.
Affiliations
University Health Network (CA)
Corresponding author
Rajan, Dheeraj K.
ORCID
Venue
Journal of Vascular and Interventional Radiology
Publisher
Elsevier BV
Published
2005-10
Volume
16
Issue
10
Pages
1319-1325
ISSN
1051-0443 (ISSN-L)
DOI
10.1097/01.rvi.0000171697.09811.0e
OpenAlex
W1968857640
Cited by
104
References
36
Citations by year
2026: 1 · 2025: 4 · 2023: 3 · 2021: 5 · 2020: 10 · 2019: 1 · 2018: 7 · 2017: 4 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 5 · 2012: 7
FWCI
7.26
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Vascular and Interventional Radiology (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, percutaneous transluminal angioplasty, superior mesenteric artery stenosis, celiac artery stenosis, primary patency, assisted patency, repeat intervention, procedural complications
MeSH terms
Adult, Aged, Aged, 80 and over, Angioplasty, Balloon, Arterial Occlusive Diseases, Celiac Artery, Chronic Disease, Follow-Up Studies, Humans, Ischemia, Mesentery, Middle Aged, Postoperative Complications, Radiography, Retrospective Studies, Vascular Patency, Stents, Survival Analysis, Treatment Outcome, Mesenteric Artery, Superior, Blood Vessel Prosthesis Implantation

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