title: Percutaneous transluminal angioplasty and stenting in the management of chronic mesenteric angina: A single center experience.
abstract: BACKGROUND
  The objective of our study was to review the results of percutaneous angioplasty (PTA)/stenting in the treatment of patients who presented with symptoms and angiographic findings of chronic mesenteric ischemia (CMI).
  
  
  METHODS
  We performed a retrospective analysis of 13 consecutive patients from a single institution who underwent PTA/stenting for the treatment of symptoms suggestive of CMI.
  
  
  RESULTS
  All 13 patients in our study were men, and most common presenting symptoms were weight loss and postprandial pain. Atherosclerosis was the most common cause. PTA and stenting was performed in 9 patients and PTA alone was done in 4 patients. Primary technical success rate was 92% with complete resolution of symptoms within 2 weeks in all patients. No statistical difference was noted in primary clinical success rate based on the number of vessels treated or the method of treatment. However, in patients whom SMA was treated had longer duration of symptom-free survival as compared to other vessels.
  
  
  CONCLUSIONS
  PTA and stenting are very effective therapeutic options for patients presenting with CMI symptoms. It should be considered as the first-line of management in such patients.
authors.affiliation: Department of Radiology, Amrita Institute of Medical Science, Amrita Vishwavidyapeetam, Kochi, Kerala, India.
authors.forename: Tixon
authors.initials: T
authors.lastname: Thomas
authors.affiliation: Department of Radiology, Amrita Institute of Medical Science, Amrita Vishwavidyapeetam, Kochi, Kerala, India.
authors.forename: Nazar P
authors.initials: NP
authors.lastname: Kader
authors.affiliation: Department of Radiology, Amrita Institute of Medical Science, Amrita Vishwavidyapeetam, Kochi, Kerala, India.
authors.forename: Nirmal K
authors.initials: NK
authors.lastname: Prabhu
authors.affiliation: Department of Radiology, Amrita Institute of Medical Science, Amrita Vishwavidyapeetam, Kochi, Kerala, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Kannan
authors.affiliation: Department of Radiology, Amrita Institute of Medical Science, Amrita Vishwavidyapeetam, Kochi, Kerala, India.
authors.forename: Sreekumar K
authors.initials: SK
authors.lastname: Pullara
authors.affiliation: Department of Radiology, Amrita Institute of Medical Science, Amrita Vishwavidyapeetam, Kochi, Kerala, India.
authors.forename: Srikanth
authors.initials: S
authors.lastname: Moorthy
keywords: Angioplasty; chronic mesenteric ischemia; inferior mesenteric artery; stenting; superior mesenteric artery