Management of Chronic Mesenteric Ischemia. The Role of Endovascular Therapy
Abstract
Chronic mesenteric ischemia is an uncommon disorder manifested most commonly as abdominal pain. Surgical revascularization has traditionally been the treatment of choice. Endovascular management of this entity was originally attempted as an alternative for high-risk patients. Improvements in stent technology, refinement in technique, and increased efficiency of antiplatelet regimens have, over time, increased the popularity of this minimally invasive approach. We present a review of the available series on endovascular treatment of chronic mesenteric ischemia, with emphasis on short- and long-term outcome and morbidity and mortality results. Principles of operative technique and controversial issues and topics of interest are also discussed.
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That review also reported 28% restenosis at 2 years and 27% repeat PTA/S.
“They found a 30-day mortality rate of 3%, and a restenosis rate of 28% at a mean follow up of 2 years with 27% undergoing repeat PTA/S.”
From Mesenteric revascularization: management and outcomes in the United States, 1988-2006 (2009) · cites this paper as [15]
Smaller CMI PTA/S series have reported mortality sometimes similar to and sometimes lower than surgery.
“There has been an increasing number of small reports of the use of angioplasty with or without stenting (PTA/S) for treatment of CMI with mortality rates similar to surgery in some reports and lower than surgery in others.12–17”
From Mesenteric revascularization: management and outcomes in the United States, 1988-2006 (2009) · cites this paper as [15]
Kougias et al's review of the largest CMI PTA/S series reported 3% 30-day mortality.
“They found a 30-day mortality rate of 3%, and a restenosis rate of 28% at a mean follow up of 2 years with 27% undergoing repeat PTA/S.”
From Mesenteric revascularization: management and outcomes in the United States, 1988-2006 (2009) · cites this paper as [15]
PTA/S is known to carry higher risks of restenosis and symptom recurrence.
“Finally, it is well documented that PTA/S is associated with a greater risk of restenosis and recurrent symptoms.15”
From Mesenteric revascularization: management and outcomes in the United States, 1988-2006 (2009) · cites this paper as [15]
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Acute and Chronic Mesenteric Ischemia
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Visceral Artery Revascularization
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- Authors
- Kougias, P., El Sayed, H. F., Zhou, W., & Lin, P. H.
- Affiliations
- Baylor College of Medicine (US)
- Venue
- Journal of Endovascular Therapy
- Published
- 2007-06
- Volume
- 14
- Issue
- 3
- Pages
- 395-405
- ISSN
- 1526-6028 (ISSN-L)
- 1545-1550
- OpenAlex
- W2098178492
- Cited by
- 71
- References
- 47
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 7 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 5 · 2017: 5 · 2016: 5 · 2015: 5 · 2014: 2 · 2013: 2 · 2012: 7
- FWCI
- 0.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Endovascular Therapy (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, endovascular treatment, mesenteric artery stenting, surgical revascularization, antiplatelet therapy, abdominal pain, long-term outcomes, morbidity and mortality, high-risk patients
- MeSH terms
- Angioplasty, Balloon, Chronic Disease, Humans, Ischemia, Mesentery, Vascular Surgical Procedures, Stents, Treatment Outcome, Risk Assessment, Patient Selection
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