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Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Multimodality Diagnosis of Mesenteric Ischemia
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Surgical revascularization in chronic mesenteric ischemia.

R F Popa1, Cristina Strobescu1, Genoveva Baroi1

  • 1Faculty of Medicine, University of Medicine and Pharmacy Grigore T. Popa, Iaşi.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|February 11, 2014
PubMed
Summary

Chronic mesenteric ischemia (CMI) can be fatal, but surgical bypass offers favorable outcomes. Open surgery for CMI demonstrates high long-term patency rates, improving patient survival and symptom remission.

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Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Chronic mesenteric ischemia (CMI) is a serious condition often diagnosed late, primarily caused by atherosclerosis.
  • Delayed diagnosis of CMI can lead to severe complications like starvation or enteromesenteric infarction.

Observation:

  • Two CMI cases presented with symptoms of mesenteric and aortoiliac disease.
  • CT angiography identified atherosclerotic lesions in visceral arteries and the aortoiliac system.

Findings:

  • Both patients underwent successful aortobifemural bypass with aortic-superior mesenteric artery bypass.
  • Surgical intervention resulted in favorable outcomes, including symptom remission and weight gain.
  • Follow-up via CT angiography and Doppler ultrasound confirmed bypass patency.

Implications:

  • Open surgery for CMI is a challenging yet effective treatment, achieving 90% symptom remission.
  • Long-term patency rates for open surgical repair exceed 80-90% at 5 years, surpassing endovascular therapies.
  • CMI management requires a multidisciplinary approach, emphasizing timely diagnosis and surgical revascularization.