[Reconstructive procedures in chronic occlusive processes of the intestinal arteries].
Three approaches are considered: the left thoracoabdominal approach, the right-sided retro- or supracolic route and the transabdominal access. Aorto-common hepatic venous bypass grafting is the preferred procedure in singular occlusions of the celiac axis. Reimplantation and aorto-mesenteric venous bypass are the treatments of choice in singular occlusions of the mesenteric artery. Occlusions of both upper intestinal arteries can be treated with a venous bridge bypass graft or by transaortic end-arterectomy. Operative mortality is low (0.9%). Remaining occlusion and recurrent symptoms occurred in 12 of 92 patients.
van Dongen
R J
RJ
D001157:Arterial Occlusive Diseases / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002445:Celiac Artery / Q000601:surgery; D004691:Endarterectomy / Q000379:methods; D006801:Humans; D007422:Intestines / Q000098:blood supply*; D007511:Ischemia / Q000209:etiology / Q000601:surgery*; D008638:Mesenteric Arteries / Q000601:surgery; D008641:Mesenteric Vascular Occlusion / Q000209:etiology / Q000601:surgery*; D014680:Veins / Q000637:transplantation