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Endovascular Treatment of Chronic Mesenteric Ischemia: Results in 14 Patients

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Abstract

We evaluated immediate and long-term results of percutaneous transluminal angioplasty (PTA) and stent placement to treat stenotic and occluded arteries in patients with chronic mesenteric ischemia. Fourteen patients were treated by 3 exclusive celiac artery (CA) PTAs (2 stentings), 3 cases with both Superior Mesenteric Artery (SMA) and CA angioplasties, and 8 exclusive SMA angioplasties (3 stentings). Eleven patients had atheromatous stenoses with one case of an early onset atheroma in an HIV patient with antiphospholipid syndrome. The other etiologies of mesenteric arterial lesions were Takayashu arteritis (2 cases) and a postradiation stenoses (1 case). Technical success was achieved in all cases. Two major complications were observed: one hematoma and one false aneurysm occurring at the brachial puncture site (14.3%). An immediate clinical success was obtained in all patients. During a follow-up of 1–83 months (mean: 29 months), 11 patients were symptom free; 3 patients had recurrent pain; in one patient with inflammatory syndrome, pain relief was obtained with medical treatment; in 2 patients abdominal pain was due to restenosis 36 and 6 months after PTA, respectively. Restenosis was treated by PTA (postirradiation stenosis), and by surgical bypass (atheromatous stenosis). Percutaneous endovascular techniques are safe and accurate. They are an alternative to surgery in patients with chronic mesenteric ischemia due to short and proximal occlusive lesions of SMA and CA.

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References

  1. F Cognet D Ben Salem M Dranssart et al. (2002) ArticleTitleChronic mesenteric ischemia: imaging and percutaneous treatment Radiographics 22 863–879 Occurrence Handle12110715

    PubMed  Google Scholar 

  2. SC Rose TM Quigley EJ Raker (1995) ArticleTitleRevascularization for chronic mesenteric ischemia: comparison of operative arterial bypass grafting and percutaneous transluminal angioplasty J Vasc Interv Radiol 6 339–349 Occurrence Handle1:STN:280:ByqA2srktVU%3D Occurrence Handle7647433

    CAS  PubMed  Google Scholar 

  3. U Nyman K Ivancev M Lindh P Uher (1998) ArticleTitleEndovascular treatment of chronic mesenteric ischemia: report of five cases Cardiovasc Intervent Radiol 21 305–313 Occurrence Handle10.1007/s002709900266 Occurrence Handle1:STN:280:DyaK1czltlCgsQ%3D%3D Occurrence Handle9688798

    Article  CAS  PubMed  Google Scholar 

  4. K Yamakado K Takeda Y Nomura et al. (1998) ArticleTitleRelief of mesenteric ischemia by Z-stent placement into the superior mesenteric artery compressed by the false lumen of an aortic dissection Cardiovasc Intervent Radiol 21 66–68

    Google Scholar 

  5. MJ Hallisey J Deschaine FF Illescas et al. (1995) ArticleTitleAngioplasty for the treatment of visceral ischemia J Vasc Interv Radiol 6 785–791 Occurrence Handle1:STN:280:BymC383otFI%3D Occurrence Handle8541685

    CAS  PubMed  Google Scholar 

  6. Deklunder G, Dauzat M (1995). Semiologie des stenoses arterielles. In: Plainfosse MC, Masson (ed) Echographie doppler en pratique viscerale et peripherique, Paris, pp 31–35

  7. AT Gentile GL Moneta RW Lee et al. (1995) ArticleTitleUsefulness of fasting and postprandial duplex ultrasound examinations for predicting high-grade superior mesenteric artery stenosis Am J Surg 196 476–479 Occurrence Handle10.1016/S0002-9610(99)80198-6

    Article  Google Scholar 

  8. A Shirkhoda O Konez AN Shetty et al. (1997) ArticleTitleMesenteric circulation: three dimensional MR angiography with gadolinium-enhanced multiecho gradient-echo technique Radiology 202 257–261 Occurrence Handle1:STN:280:ByiC2c7pslQ%3D Occurrence Handle8988220

    CAS  PubMed  Google Scholar 

  9. KC Li WS Whitney CH McDonnell et al. (1994) ArticleTitleChronic mesenteric ischemia: evaluation with phase-contrast cine MR imaging Radiology 190 175–179 Occurrence Handle1:STN:280:ByuD1c3hs1I%3D Occurrence Handle8259400

    CAS  PubMed  Google Scholar 

  10. Cluzel P, Auguste M, Galvez V (1999) Traitement endovasculaire des artères digestives. Kieffer E, Parc E Aercv (eds) Chirurgie des arteres digestives, pp 145–153. Paris

  11. D Liermann EP Strecker (1995) Tantalum stents in the treatment of stenotic and occlusive disease of abdominal vessels DD Liebermann (Eds) Polyscience stents: state of the art and future developments . Watertown 127–134

    Google Scholar 

  12. SR Sheeran TP Murphy A Khwaja et al. (1999) ArticleTitleStent placement for the treatment of mesenteric artery stenoses or occlusions J Vasc Interv Radiol 10 861–867 Occurrence Handle1:STN:280:DyaK1Mzmt1Smtw%3D%3D Occurrence Handle10435702

    CAS  PubMed  Google Scholar 

  13. F Maspes G Mazzetti di Pietralata et al. (1998) ArticleTitlePercutaneous transluminal angioplasty in the treatment of chronic mesenteric ischemia: results and 3 years follow-up in 23 patients Abdom Imaging 23 358–363 Occurrence Handle10.1007/s002619900361 Occurrence Handle1:STN:280:DyaK1czislOqsQ%3D%3D Occurrence Handle9663269

    Article  CAS  PubMed  Google Scholar 

  14. AH Matsumoto CJ Tegtmeyer EK Fitzcharles JB Selby Jr (1995) ArticleTitlePercutaneous transluminal angioplasty of visceral arterial stenoses: results and long-term clinical follow-up J Vasc Interv Radiol 6 165–174 Occurrence Handle1:STN:280:ByqA3cnpslI%3D Occurrence Handle7787348

    CAS  PubMed  Google Scholar 

  15. A Odurny KW Sniderman RF Colapinto (1988) ArticleTitleIntestinal angina: percutaneous transluminal angioplasty of the celiac and superior mesenteric arteries Radiology 167 59–62 Occurrence Handle1:STN:280:BieC2MfmvVw%3D Occurrence Handle2964677

    CAS  PubMed  Google Scholar 

  16. R Pietura A Szymanska M El Furah et al. (2002) ArticleTitleChronic mesenteric ischemia: diagnosis and treatment with balloon angioplasty and stenting: Med Sci Monit 8 8–12

    Google Scholar 

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Authors and Affiliations

  1. Radiology Department, University Hospital, Clermont-Ferrand-France

    Tamam Chahid, Agaicha T. Alfidja, Marie Biard, Anne Ravel, Jean Marc Garcier & L. Boyer

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  1. Tamam Chahid
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  2. Agaicha T. Alfidja
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  3. Marie Biard
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  4. Anne Ravel
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  5. Jean Marc Garcier
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  6. L. Boyer
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Correspondence to L. Boyer.

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Chahid, T., Alfidja, A., Biard, M. et al. Endovascular Treatment of Chronic Mesenteric Ischemia: Results in 14 Patients. CVIR 27, 637–642 (2004). https://doi.org/10.1007/s00270-004-0225-z

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