Inferior mesenteric artery stenting: a solution for chronic mesenteric ischemia.
Chronic mesenteric ischemia (CMI) is a rare entity with potentially tragic consequences. Meanwhile, there is still no consensus regarding the most adequate treatment approach. The authors herein report a case of a 65-year-old woman with severe CMI as a result of an occlusion of both the celiac artery (CA) and superior mesenteric artery (SMA) and a significant stenosis of the inferior mesenteric artery (IMA) ostium. The patient was successfully treated by angioplasty and stenting of the IMA. Even though the usual approach for CMI is revascularization of the CA and the SMA, the present case demonstrates that IMA can have a central role in visceral circulation, and its endovascular revascularization can be the first treatment option in selected cases.
Brandão
Daniel
D
Department of Cardiovascular and Endovascular Surgery, Arizona Heart Institute, Phoenix, AZ 85006, USA. jdanielbrandao@gmail.com
Koullias
George J
GJ
Caparrelli
David J
DJ
Diethrich
Edward B
EB
D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D002445:Celiac Artery / Q000000981:diagnostic imaging; D002908:Chronic Disease; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017537:Mesenteric Artery, Inferior / Q000000981:diagnostic imaging; D008641:Mesenteric Vascular Occlusion / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome