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[Angina abdominalis: duplex ultrasound diagnosis and percutaneous revascularization]

S Segerer1, A Mühlhöfer, M Gross

  • 1Medizinische Poliklinik, Universität München Innenstadt.

VASA. Zeitschrift Fur Gefasskrankheiten
|July 20, 2000
PubMed

Insights

This case study highlights successful treatment of mesenteric ischemia using angioplasty and stenting. This minimally invasive approach resolved a patient's severe abdominal pain caused by superior mesenteric artery stenosis.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Gastroenterology

Background:

  • Intestinal ischemia presents a significant clinical challenge, necessitating multidisciplinary collaboration.
  • Traditional diagnosis and surgical treatments are increasingly augmented by advanced imaging and percutaneous interventions.

Observation:

  • A 56-year-old male presented with postprandial epigastric pain due to superior mesenteric artery stenosis.
  • Duplex sonography and angiography confirmed the stenosis, with absent flow in the inferior mesenteric and celiac arteries.
  • The patient's history of internal carotid artery occlusion precluded surgical intervention.

Findings:

  • Percutaneous angioplasty and stent implantation successfully restored blood flow.
  • The patient experienced immediate pain relief and was able to resume oral intake post-intervention.
  • Symptom-free status was maintained for 18 months following the procedure.

Implications:

  • Endovascular therapy, including angioplasty and stenting, is a promising alternative for managing mesenteric ischemia.
  • This approach is particularly valuable for high-risk surgical candidates.
  • Further case reports and series are needed to solidify the indications for this intervention.

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