Related Experiment Video
Updated: Oct 3, 2026
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Chronic mesenteric ischemia: diagnosis and treatment with balloon angioplasty and stenting
Radosław Pietura1, Anna Szymańska, Majda El Furah
1Department of Interventional Radiology and Neuroradiology, Lublin Medical University, Lublin, Poland. radoslawpietura@hotmail.com
Insights
Endovascular treatment, including balloon angioplasty and stenting, effectively manages abdominal angina caused by visceral artery stenosis. This minimally invasive approach offers a safe and efficient solution for patients experiencing severe symptoms.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Abdominal angina is a debilitating condition often caused by stenosis in visceral arteries.
- Superior mesenteric artery (SMA) and celiac trunk (CT) stenosis are significant contributors to abdominal angina.
Purpose of the Study:
- To evaluate the efficacy and safety of endovascular treatment for SMA and CT stenosis.
- To assess the long-term outcomes of balloon angioplasty and stenting in patients with visceral artery stenosis.
Main Methods:
- Retrospective analysis of 6 patients with abdominal angina due to SMA/CT stenosis treated between 1996-2001.
- Patients underwent diagnostic angiography followed by percutaneous transluminal angioplasty (PTA).
- Stenting was performed if residual stenosis exceeded 30% after PTA.
Main Results:
- PTA was successful in 5 out of 6 patients (83%).
- One patient required stenting in the SMA due to suboptimal PTA results.
- Clinical and Doppler ultrasound follow-up at 6, 12, and 18 months showed good outcomes in most patients.
Conclusions:
- Endovascular treatment, including balloon angioplasty and stenting, is an effective and safe therapeutic option.
- These minimally invasive techniques provide significant relief for patients suffering from abdominal angina due to visceral artery stenosis.
Background:
The goal of our research was to evaluate the efficacy of endovascular treatment in stenosis of the superior mesenteric artery and the celiac trunk.
Material/Methods:
During the period 1996-2001, 6 patients (1 woman, 5 men, ages 46 to 73) were referred to our department with abdominal angina. Angiograms were performed in order to establish the reasons. All these patients presented with postprandial abdominal pain and weight loss. Angiography showed stenosis in the superior mesenteric artery in 2 patients, in the celiac trunk in 1 patient, and in both vessels in 3 patients. Typical balloon angioplasty (PTA) was performed with a balloon catheter, 5-8 mm in diameter, inflated up to 18 atm. If more than 30% stenosis remained after PTA, the patient was referred for stenting.
Results:
In 5 of the 6 patients (83%) PTA was successful. In one patient (17%) with poor results from PTA, a Perflex stent (diameter 7 mm) was implanted in the superior mesenteric artery. The follow-up protocol included clinical and Doppler ultrasonographic examination at 6, 12, and 18 months after surgery. A good clinical and ultrasound outcome was found in 6 patients at 6 and 12 months, and in 4 patients at 18 months.
Conclusions:
Balloon angioplasty and stent placement seem to be efficient and safe methods of treatment for abdominal angina in stenosis of the superior mesenteric artery and celiac trunk.
Related Concept Videos
01:27Peripheral Artery Disease III: Interprofessional Care
01:29Chronic Pancreatitis II: Collaborative Care
Assessment:
01:26Angina IV: Management
01:28Acute Coronary Syndrome IV: Interprofessional Care
01:27Coronary Artery Disease V: Interprofessional Care
01:17Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...