Role for endovascular therapy in chronic mesenteric ischemia.
Chronic mesenteric ischemia is a rare condition that is caused by stenosis or occlusion of the mesenteric arteries and usually manifests as abdominal pain. While surgical revascularization has been the standard treatment for symptomatic patients, recent advances in interventional devices and techniques have made endovascular treatment feasible and effective. Percutaneous transluminal angioplasty with stent placement is now recognized as a minimally invasive means of obtaining good long-term results with an acceptable recurrence rate; consequently, the technique is suggested for the primary treatment of chronic mesenteric ischemia. The present article discusses the indications and principles of endovascular treatment, and reviews the literature, with emphasis on short- and long-term outcomes, particularly morbidity and mortality rates.
University of Dijon School of Medicine, Bocage Teaching Hospital, Dijon, France. romaric.loffroy@chu-dijon.fr
Romaric
R
Loffroy
Eric
E
Steinmetz
Boris
B
Guiu
Valérie
V
Molin
Benjamin
B
Kretz
Alice
A
Gagnaire
Olivier
O
Bouchot
Jean-Pierre
JP
Cercueil
Roger
R
Brenot
Denis
D
Krausé
D000792:Angiography; D017546:Angioscopy / Q000379:methods*; D002908:Chronic Disease; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D008641:Mesenteric Vascular Occlusion / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008643:Mesentery / Q000098:blood supply*; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler