Chronic Mesenteric Ischemia: Patient Outcomes Using Open Surgical Revascularization
Abstract
Background: Chronic mesenteric ischemia (CMI) is a rare disease. Open treatment (OT) remains a valuable treatment option. We analyzed patient outcomes after OT and investigated health-related quality of life (HRQoL). Methods: Data were analyzed retrospectively. The investigation period was from January 1, 2001, to December 31, 2014. We investigated mortality and patency rates using Kaplan-Meier analysis. HRQoL was measured using a 36-item health survey. Various statistical methods were employed. Results: A total of 100 patients (celiac trunk [TC: n = 23], superior mesenteric artery [SMA: n = 26], or both [n = 51]) were included. Median follow-up was 5 ± 35 months. One-year survival rate for TC was 75 ± 11%, for SMA: 79 ± 10%, and for both: 96 ± 3%. TC 5-year survival was 75 ± 11% (SMA: 57 ± 16%: both: 80 ± 8%). Obesity and the length of hospital stay were independently associated with patient survival (p < 0.05). Primary 1-year patency rate was 60 ± 13% for TC (SMA: 86 ± 10%; both: 71 ± 8%) and secondary 1-year patency rate was 84 ± 9% for TC (SMA: 100%; both: 79 ± 7%). HRQoL was inferior compared to the German normative data (p < 0.05). Conclusion: CMI overlaps between gastrointestinal and vascular surgery. OT is safe, and simultaneous revascularization of the TC and the SMA does not affect mortality. Patients would not necessarily benefit from OT in terms of HRQoL.
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In a retrospective study of 100 patients, isolated open SMA revascularisation had higher primary and secondary patency rates compared with either isolated CA or combined CA and SMA revascularisation.
“In a retrospective study of 100 patients, isolated open SMA revascularisation had higher primary and secondary patency rates compared with either isolated CA or combined CA and SMA revascularisation.”
Cites
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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
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The Impact of Revascularisation on Quality of Life in Chronic Mesenteric Ischemia
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- Authors
- Wagenhäuser, M. U., Meyer-Janiszewski, Y. K., Dueppers, P., Spin, J. M., Floros, N., Schelzig, H., & Duran, M.
- Affiliations
- Heinrich Heine University Düsseldorf (DE)
- Stanford Medicine (US)
- Venue
- Digestive Surgery
- Publisher
- S. Karger AG
- Published
- 2017
- Volume
- 34
- Issue
- 4
- Pages
- 340-349
- ISSN
- 0253-4886 (ISSN-L)
- 1421-9883
- OpenAlex
- W2595131231
- Cited by
- 9
- References
- 3
- Citations by year
- 2025: 1 · 2023: 2 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 1
- FWCI
- 1.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Digestive 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 › Vascular anomalies and interventions
- Keywords
- chronic mesenteric ischemia, open surgical revascularization, superior mesenteric artery, celiac artery, health-related quality of life, survival, graft patency, obesity, length of hospital stay
- MeSH terms
- Aged, Celiac Artery, Chronic Disease, Endarterectomy, Female, Follow-Up Studies, Humans, Length of Stay, Male, Middle Aged, Obesity, Quality of Life, Retrospective Studies, Vascular Patency, Survival Rate, Treatment Outcome, Mesenteric Artery, Superior, Vascular Grafting, Mesenteric Ischemia
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