open access

Vol 9, No 3 (2007)
Published online: 2008-01-04
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Endovascular treatment of chronic mesenteric ischaemia

Robert Juszkat, Fryderyk Pukacki, Marcin Gabriel, Grzegorz Oszkinis, Ryszard Staniszewski, Anna Zarzecka, Wacław Majewski
Chirurgia Polska 2007;9(3):121-129.

open access

Vol 9, No 3 (2007)
Published online: 2008-01-04

Abstract

Background: With the development of endovascular techniques, the role of transluminal management of occlusive mesenteric vascular disease has been increasing. The aim of the study was evaluation of our current experience with endovascular stent implantation and angioplasty in the superior mesenteric artery, using modern stent technology and delivery systems as well as the determination of the safety of endovascular therapy.
Material and methods: 7 consecutive patients were studied (4 females, 3 males, mean age: 57.5 years) with chronic mesenteric ischaemia. In all patients, a presumptive diagnosis was based on the clinical examination, computed tomography angiography and duplex Doppler sonography and confirmed with digital subtraction angiography. All patients underwent endovascular angioplasty procedures with stent implantation in the superior mesenteric artery. In 4 patients, angioplasty and stent implantation in the superior mesenteric artery were performed via axillary access and in 3 patients via the femoral approach directly after digital subtraction angiography examination.
Results: Technical success and symptom relief were achieved in all patients. Patients were followed-up within 6-24 months and no signs of restenosis were present.
Conclusions: In our opinion endovascular revascularization of the superior mesenteric artery is a safe and effective method of treatment of chronic mesenteric ischaemia.

Abstract

Background: With the development of endovascular techniques, the role of transluminal management of occlusive mesenteric vascular disease has been increasing. The aim of the study was evaluation of our current experience with endovascular stent implantation and angioplasty in the superior mesenteric artery, using modern stent technology and delivery systems as well as the determination of the safety of endovascular therapy.
Material and methods: 7 consecutive patients were studied (4 females, 3 males, mean age: 57.5 years) with chronic mesenteric ischaemia. In all patients, a presumptive diagnosis was based on the clinical examination, computed tomography angiography and duplex Doppler sonography and confirmed with digital subtraction angiography. All patients underwent endovascular angioplasty procedures with stent implantation in the superior mesenteric artery. In 4 patients, angioplasty and stent implantation in the superior mesenteric artery were performed via axillary access and in 3 patients via the femoral approach directly after digital subtraction angiography examination.
Results: Technical success and symptom relief were achieved in all patients. Patients were followed-up within 6-24 months and no signs of restenosis were present.
Conclusions: In our opinion endovascular revascularization of the superior mesenteric artery is a safe and effective method of treatment of chronic mesenteric ischaemia.
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Keywords

angiography; angioplasty; interventional; percutaneous; stents; vascular

About this article
Title

Endovascular treatment of chronic mesenteric ischaemia

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 9, No 3 (2007)

Pages

121-129

Published online

2008-01-04

Bibliographic record

Chirurgia Polska 2007;9(3):121-129.

Keywords

angiography
angioplasty
interventional
percutaneous
stents
vascular

Authors

Robert Juszkat
Fryderyk Pukacki
Marcin Gabriel
Grzegorz Oszkinis
Ryszard Staniszewski
Anna Zarzecka
Wacław Majewski

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