[Chronic mesenteric ischemia due to superior mesenteric artery stenosis. Percutaneous therapy as alternative treatment].
Chronic mesenteric arterial ischemia is an uncommon condition associated with a high morbidity and mortality. It is most commonly caused by atherosclerotic occlusive disease. Patients may suffer epigastric or periumbilical post-prandial pain ten to thirty minutes after eating. A case of chronic mesenteric ischemia is presented due to superior mesenteric artery stenosis. The diagnosis was performed with doppler sonography and angiography and was treated with percutaneous transluminal angioplasty. The patient became completely asymptomatic. The purpose of this report is to present the case, clinic and radiological features and to describe the percutaneous procedure. We believe that percutaneous treatment offers an improvement in this pathology with a low complication rate, decreasing the admission days and increasing patient comfort degree.
Ferrer
M D
MD
Servicio de Radiodiagnóstico, Sección de Rx Vascular, Hospital Clínico Universitario, Avda, Blasco Ibáñez, 17, 46010 Valencia.
Gil
J
J
Guijarro
J
J
Pascual
I
I
Parreño
E
E
D000368:Aged; D000792:Angiography; D000800:Angioplasty, Balloon; D002908:Chronic Disease; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000628:therapy*; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D008641:Mesenteric Vascular Occlusion / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D008643:Mesentery / Q000098:blood supply*; D015424:Reperfusion; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler