title: Long-Term Results of Endovascular Treatment of Atherosclerotic Stenoses or Occlusions of the Coeliac and Superior Mesenteric Artery in Patients With Mesenteric Ischaemia.
abstract: BACKGROUND
  Over the past decade, primary percutaneous mesenteric artery stenting (PMAS) has become an alternative to open revascularisation for treatment of mesenteric ischaemia. Institutes have presented favourable short-term outcomes after PMAS, but there is a lack of data on long-term stent patency.
  
  
  METHODS
  One hundred and forty-one patients treated by PMAS for acute and chronic mesenteric ischaemia over an 8 year period were studied. Anatomical success was assessed by duplex ultrasound and/or CT angiography. A stenosis ≥70% was considered to be a failure.
  
  
  RESULTS
  Eighty-six coeliac arteries (CA) and 99 superior mesenteric arteries (SMA) were treated with PMAS in 141 patients. Nine CAs (10%) and 30 SMAs (30%) were occluded at the time of treatment. Median follow-up was 32 months (IQR 20-46). The overall primary patency rate at 12 and 60 months was 77.0% and 45.0%. The overall primary assisted patency rate was 90.3% and 69.8%. Overall secondary patency was 98.3% and 93.6%.
  
  
  CONCLUSIONS
  This study shows excellent long-term secondary patencies after PMAS, comparable with published data on long-term patencies after open surgical revascularisation.
authors.affiliation: Department of Radiology, Medisch Spectrum Twente, Enschede, The Netherlands. Electronic address: t.bulut@mst.nl.
authors.forename: T
authors.initials: T
authors.lastname: Bulut
authors.affiliation: Department of Radiology, Medisch Spectrum Twente, Enschede, The Netherlands; Department of Radiology Martini Ziekenhuis, Groningen, The Netherlands.
authors.forename: R
authors.initials: R
authors.lastname: Oosterhof-Berktas
authors.affiliation: Department of Vascular Surgery, Medisch Spectrum Twente, Enschede, The Netherlands; Faculty Science and Technology, Experimental Centre of Technical Medicine, University of Twente, Enschede, The Netherlands.
authors.forename: R H
authors.initials: RH
authors.lastname: Geelkerken
authors.affiliation: Department of Epidemiology, Medisch Spectrum Twente, Enschede, The Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: Brusse-Keizer
authors.affiliation: Department of Radiology, Medisch Spectrum Twente, Enschede, The Netherlands.
authors.forename: E J
authors.initials: EJ
authors.lastname: Stassen
authors.affiliation: Department of Gastroenterology, Medisch Spectrum Twente, Enschede, The Netherlands; Department of Gastroenterology University Medical Centre, Groningen, The Netherlands.
authors.forename: J J
authors.initials: JJ
authors.lastname: Kolkman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D000072226:Computed Tomography Angiography; D003251:Constriction, Pathologic; D016208:Databases, Factual; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000401:mortality; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000503:physiopathology; D065666:Mesenteric Ischemia / Q000000981:diagnostic imaging / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D008875:Middle Aged; D012189:Retrospective Studies; D013152:Splanchnic Circulation; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014654:Vascular Patency; D055815:Young Adult
keywords: Coeliac artery; Endovascular procedures; Mesenteric ischaemia; Superior mesenteric artery; Vascular patency