Treatment of chronic mesenteric ischemia by subintimal angioplasty of an occluded superior mesenteric artery.
BACKGROUND
Subintimal angioplasty is an established technique for the recanalisation of occluded vessels. It has been applied extensively to the peripheral arterial system but not the mesenteric vessels in mesenteric angina.


METHODS
We report the first described case of recanalisation of a mesenteric vessel. The vessel has remained patent for five years with good symptomatic relief.


CONCLUSIONS
Subintimal angioplasty could represent an alternative treatment to major surgery for occlusive disease of the mesenteric vessels.
Glasby
M J
MJ
Department of Radiology, University Hospitals Leicester NHS Trust, UK. michael.glasby@uhl-tr.nhs.uk
Bolia
A
A
D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon / Q000379:methods*; D001783:Blood Flow Velocity; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D008875:Middle Aged; D013997:Time Factors; D017539:Tunica Intima; D018616:Ultrasonography, Doppler, Duplex