[Revascularization of the inferior mesenteric artery through an endoaortic approach. A prospective series of 51 cases].
From January 1, 1986 to December 31, 1987, 170 subrenal abdominal aortic aneurysms were operated on using a technique involving systematic revascularisation of the inferior mesenteric artery each time this was possible. The electively chosen revascularisation method was endo-aortic reimplantation which was carried out on 51 occasions out of 53 revascularisations. The post-operative mortality was zero. Post-operative angiographic examination via the arterial route was systematically performed. 5 post-operative occlusions occurred. In these patients undergoing inferior mesenteric revascularisation, there was only one single case of severe ischemic colitis which subsequently resolved. Endo-aortic reimplantation of the inferior mesenteric artery would thus appear to be the procedure of choice for the prevention of ischemic colitis when the ostium is not stenosed or occluded.
Hôpital Saint Joseph, Service de Chirurgie Vasculaire, Paris.
J M
JM
Cormier
J
J
Vennin
S
S
Benvegna
D000368:Aged; D000369:Aged, 80 and over; D001012:Aorta, Abdominal; D001014:Aortic Aneurysm / Q000601:surgery; D001807:Blood Vessel Prosthesis; D003108:Colonic Diseases / Q000517:prevention & control; D005260:Female; D006801:Humans; D007511:Ischemia / Q000517:prevention & control; D008297:Male; D008638:Mesenteric Arteries / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000601:surgery; D008875:Middle Aged
Revascularisation de la mésentérique inférieure par voie endo-aortique. Série prospective de 51 cas.