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Related Experiment Videos

Endovascular therapy for chronic mesenteric ischemia.

Jose A Silva1, Christopher J White, Tyrone J Collins

  • 1Department of Cardiology, Section of Gastroenterology, Ochsner Clinic Foundation, New Orleans, Louisiana 70461, USA. jsilva@ochsner.org

Journal of the American College of Cardiology
|March 7, 2006
PubMed
Summary

Percutaneous stent placement effectively treats chronic mesenteric ischemia (CMI), offering high success and symptom relief. This endovascular approach shows long-term results comparable to surgery but with lower risks.

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Area of Science:

  • Vascular surgery
  • Interventional radiology
  • Gastroenterology

Background:

  • Chronic mesenteric ischemia (CMI) traditionally treated with surgery.
  • Surgery for CMI has high complication and mortality rates.

Purpose of the Study:

  • To evaluate outcomes of percutaneous stent revascularization for CMI.
  • Compare endovascular treatment to historical surgical approaches.

Main Methods:

  • 59 patients with CMI underwent stent placement in 79 mesenteric arteries.
  • Clinical and anatomical follow-up (angiography/ultrasound) at >=6 months.
  • 96% procedural success rate achieved.

Main Results:

  • 88% of patients experienced symptom relief.

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  • At mean 38-month follow-up, 79% survival rate and 17% symptom recurrence.
  • 29% restenosis rate observed, successfully treated with repeat procedures.

    • Conclusions:

    • Percutaneous stenting for CMI offers high success and low complication rates.
    • Long-term symptom relief and patency are comparable to surgical outcomes.
    • Endovascular approach is preferred due to lower procedural morbidity and mortality.