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Endovascular versus open revascularization for chronic mesenteric ischemia: a comparative study

  • Controlled Prospective Clinical Trials
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Abstract

Background

The aim of our study was to evaluate and compare short- and long-term outcomes of percutaneous angioplasty and open revascularization for chronic intestinal ischemia.

Materials and methods

Twenty-nine consecutive patients undergoing percutaneous angioplasty (n = 14) or open revascularization (n = 15) for chronic intestinal ischemia were prospectively studied from 2000 to 2006. All patients were symptomatic with at least thrombosis or 80% stenosis of superior mesenteric artery.

Results

No patient was lost to follow-up. Patients were older in percutaneous angioplasty than in the open revascularization group (p = 0.0009). Open revascularization allowed to revascularize more vessels (1.4 versus 1, p = 0.01). There was no difference between groups regarding major complications, mortality, hospital length of stay, and symptomatic recurrence. Primary re-stenosis was only observed in three patients (21.4%) in the percutaneous angioplasty group. Survival at 2 years estimated by the Kaplan–Meier method was 58% in the percutaneous angioplasty group and 70% in the open revascularization group (p = NS).

Conclusion

Percutaneous angioplasty should be preferentially offered to older patients and those unable to undergo open revascularization.

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Authors and Affiliations

  1. General and Vascular Surgery Department, Claude Huriez Hospital, Lille, France

    G. Lebuffe, A. Chamatan, D. Massouille & J. P. Chambon

  2. Department of Radiology, Claude Huriez Hospital, Lille, France

    G. Sergent-Baudson

  3. Department of Cardiovascular Radiology, Lille University Medical Center, Lille, France

    C. Lions

  4. Service de Chirurgie Digestive et Transplantation, Hôpital Claude Huriez, CHRU de Lille, 59037, Lille Cedex, France

    P. Zerbib

Authors
  1. P. Zerbib
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  2. G. Lebuffe
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  3. G. Sergent-Baudson
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  4. A. Chamatan
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  5. D. Massouille
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  6. C. Lions
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  7. J. P. Chambon
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Correspondence to P. Zerbib.

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Zerbib, P., Lebuffe, G., Sergent-Baudson, G. et al. Endovascular versus open revascularization for chronic mesenteric ischemia: a comparative study. Langenbecks Arch Surg 393, 865–870 (2008). https://doi.org/10.1007/s00423-008-0355-x

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  • DOI: https://doi.org/10.1007/s00423-008-0355-x

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