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Updated: Jun 1, 2026
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Outcome following mesenteric artery revascularisation for chronic mesenteric ischemia
R Marudanayagam1, S Syed, H Nasr
1Department of Vascular Surgery, Royal Shrewsbury Hospital, Shrewsbury and Telford NHS Trust, Shrewsbury, UK. ravim1973@yahoo.co.in
Mesenteric revascularisation effectively treats chronic mesenteric ischaemia (CMI), offering symptomatic relief and good long-term graft patency with low mortality. This review highlights successful outcomes for CMI patients undergoing surgical or endovascular procedures.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Interventional Radiology
Background:
- Chronic mesenteric ischaemia (CMI) presents diagnostic challenges.
- Timely revascularisation is crucial for managing CMI.
Purpose of the Study:
- To review CMI clinical presentation and diagnosis.
- To evaluate early and late outcomes of mesenteric revascularisation.
Main Methods:
- Retrospective study of 15 CMI patients (2000-2006).
- Mesenteric revascularisation via angioplasty, stenting, endarterectomy, or bypass graft.
- Follow-up with Duplex scan and CT angiogram for graft patency.
Main Results:
- 16 procedures in 15 patients: 9 bypass, 2 endarterectomy, 2 angioplasty, 2 stenting, 1 iliac-hepatic bypass.
- No perioperative deaths or early complications.
- 2 late graft thromboses with recurrence; 1 late death from thrombosis/infarction.
Conclusions:
- Mesenteric revascularisation is successful for CMI.
- Achieves symptomatic relief, low mortality, and good long-term graft patency.
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