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Endovascular treatment as first choice in chronic intestinal ischemia

E Steinmetz1, E Tatou, Claire Favier-Blavoux

  • 1Service de Chirurgie Cardio vasculaire, Hôpital du Bocage, Université de Bourgogne, Dijon, France. eric.steinmetz@chu-dijon.fr

Annals of Vascular Surgery
|October 23, 2002
PubMed

Insights

Endovascular treatment, specifically percutaneous angioplasty, is effective for chronic intestinal ischemia (CII). Focusing on a single affected artery offers a reasonable and efficient therapeutic approach for patients with CII.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Gastroenterology

Background:

  • Chronic intestinal ischemia (CII) significantly impacts patient quality of life.
  • Defining optimal treatment strategies for CII is crucial.

Purpose of the Study:

  • To evaluate the role and efficacy of endovascular treatment in patients with symptomatic chronic intestinal ischemia.
  • To assess the feasibility of percutaneous angioplasty for intestinal artery stenosis.

Main Methods:

  • A retrospective analysis of 19 consecutive patients with symptomatic CII treated between 1989 and 2001.
  • Patients underwent percutaneous angioplasty of stenotic intestinal arteries (SMA, CA, IMA).
  • Angioplasty involved balloon dilation, with stenting used in 7 patients due to recoil or dissection.

Main Results:

  • Endovascular treatment was successfully applied as an initial therapy for CII.
  • 16 out of 19 patients presented with postprandial pain, and 14 experienced weight loss.
  • Stenoses were predominantly in multiple arteries (17/19), with angioplasty focused on one artery per patient.

Conclusions:

  • Endovascular treatment is a viable initial therapeutic option for chronic intestinal ischemia.
  • Targeting a single stenotic artery with angioplasty demonstrates short- and long-term effectiveness.
  • Percutaneous angioplasty offers a minimally invasive approach for managing CII.

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