title: Abdominal Angina Treated by Urgent Percutaneous Angioplasty: An Excellent Alternative to Surgical Revascularisation.
abstract: Chronic Mesenteric Ischemia (CMI) presenting as acute abdomen can be treated percutaneously. An endovascular intervention has surpassed surgical revascularization over the past decade due to its lesser perioperative complication rate. Trans-femoral approach of revascularising is limited by its difficulty in coaxial alignment of the guiding catheter and hence, brachial artery and recently the radial approach have been utilized for mesenteric artery revascularisation for over a decade. Here by we report a case of chronic mesenteric ischemia having total occlusion of two and 70% occlusion of one of the three mesenteric vessels. The patient had presented with acute abdomen which in turn was percutaneously revascularised via the left brachial artery for the two major abdominal visceral vessels being superior mesenteric artery and inferior mesenteric artery.
authors.affiliation: Fellow in Interventional Cardiology, Department of Cardiology, Kasturba Medical College , Manipal, Karnataka, India .
authors.forename: Vamsi Krishna
authors.initials: VK
authors.lastname: Kamana
authors.affiliation: Professor, Department of Cardiology, Kasturba Medical College , Manipal, Karnataka, India .
authors.forename: Ranjan
authors.initials: R
authors.lastname: Shetty
authors.affiliation: Student, Department of Cardiology, Kasturba Medical College , Manipal, Karnataka, India .
authors.forename: Anand M
authors.initials: AM
authors.lastname: Krishnan
authors.affiliation: Resident, Department of Cardiology, Kasturba Medical College , Manipal, Karnataka, India .
authors.forename: M Sudhakar
authors.initials: MS
authors.lastname: Rao
authors.affiliation: Assistant Professor, Department of Cardiology, Kasturba Medical College , Manipal, Karnataka, India .
authors.forename: Umesh Pai
authors.initials: UP
authors.lastname: Malpe
keywords: Brachial artery; Chronic mesenteric ischemia; Inferior mesenteric artery; Superior mesenteric artery