title: Managing mesenteric vasculitis.
abstract: Mesenteric vasculitis is a rare diagnosis, but it comprises a group of disorders that may have devastating manifestations. It is often difficult to diagnose using clinical symptoms and biomarkers. Vascular imaging often provides the best opportunity for the noninvasive diagnosis of vasculitis and obviates the need for performing a biopsy. The medical management of vasculitis involves controlling the inflammatory process with the use of steroids or other immunosuppressants, but medical therapy does not consistently provide regression of the vascular changes (ie, aneurysms or vascular occlusions) seen at the time of the initial diagnosis. Operative management remains the mainstay of therapy for focal occlusive or aneurysms, but the treatment options for multifocal disease remain challenging. Endovascular treatment is increasingly being used as a first line of treatment for symptomatic vasculitis. Interventionalists should be familiar with the indications and outcomes associated with the various therapeutic options for mesenteric vasculitis-associated occlusive disease and aneurysms.
authors: Department of Radiology, University of Virginia Health System, Charlottesville, VA. Electronic address: jfa3h@virginia.edu.
authors: John Fritz
authors: JF
authors: Angle
authors: University of Virginia School of Medicine, Charlottesville, VA.
authors: Berhanemeskel A
authors: BA
authors: Nida
authors: Department of Radiology, University of Virginia Health System, Charlottesville, VA.
authors: Alan H
authors: AH
authors: Matsumoto
mesh_terms: D000368:Aged; D057510:Endovascular Procedures / Q000009:adverse effects; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008638:Mesenteric Arteries / Q000503:physiopathology; D065666:Mesenteric Ischemia / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D008875:Middle Aged; D011237:Predictive Value of Tests; D015641:Radiography, Interventional; D013152:Splanchnic Circulation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014657:Vasculitis / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*
keywords: Mesenteric vasculitis; angioplasty; ischemia