title: Anatomic and radiologic review of chronic mesenteric ischemia and its treatment.
abstract: Chronic mesenteric ischemia (CMI) is a vascular occlusive disease process that generally affects the elderly population. Clinical presentation occurs when two of the three mesenteric arteries are affected and includes non-specific abdominal pain and weight loss. The most common cause of CMI is atherosclerotic arterial occlusion. The aim of this review is to present the vascular anatomy of the mesenteric arterial circulation including the different collateral pathways. The imaging findings and the different treatment options with a brief review of the literature is presented.
authors.affiliation: Department of Radiology, UT Southwestern Medical Center, Dallas, TX. Electronic address: adam.jaster@phhs.org.
authors.forename: Adam
authors.initials: A
authors.lastname: Jaster
authors.affiliation: Department of Radiology, UT Southwestern Medical Center, Dallas, TX.
authors.forename: Sadia
authors.initials: S
authors.lastname: Choudhery
authors.affiliation: Department of Radiology, UT Southwestern Medical Center, Dallas, TX.
authors.forename: Richard
authors.initials: R
authors.lastname: Ahn
authors.affiliation: Department of Radiology, UT Southwestern Medical Center, Dallas, TX.
authors.forename: Patrick
authors.initials: P
authors.lastname: Sutphin
authors.affiliation: Department of Radiology, UT Southwestern Medical Center, Dallas, TX.
authors.forename: Sanjeeva
authors.initials: S
authors.lastname: Kalva
authors.affiliation: Department of Radiology, UT Southwestern Medical Center, Dallas, TX.
authors.forename: Matthew
authors.initials: M
authors.lastname: Anderson
authors.affiliation: Department of Radiology, UT Southwestern Medical Center, Dallas, TX.
authors.forename: Anil K
authors.initials: AK
authors.lastname: Pillai
mesh_terms: D002908:Chronic Disease; D003661:Decision Support Techniques; D003937:Diagnosis, Differential; D006801:Humans; D065666:Mesenteric Ischemia / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures
keywords: Chronic mesenteric ischemia; Mesenteric vascular anatomy; Mesenteric vascular imaging; Percutaneous endovascular treatment; Surgical mesenteric revascularization