[Revascularization surgery of chronic intestinal ischemia following failure of endoluminal treatment]

The endoluminal interventional has played nowadays, a significant role as an alternative to the revascularization surgery of digestive arteries, but its therapeutic efficacy and duration of results have not yet been fully demonstrated. The authors report the clinical case of a 64 years old male, suffering of abdominal angina and significant weight loss, due to a pre-occlusive ostial stenosis of the celiac axis. He underwent three angioplasty/stenting attempts for the last three years, with no success to dilate the lesion and persistence of the clinical symptoms. As a consequence of the failure of the endoluminal intervention, he underwent a conventional revascularization procedure, consisting in the implantation of an aorto-hepatic prosthetic bypass graft, with immediate resolution of the symptoms and a progressive and consistent weight gain. The authors conclude by discussing the advantages and inconvenience of these two modalities for the management of chronic intestinal ischemia.