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Multimodality Diagnosis of Mesenteric Ischemia
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Celiac and Superior/Inferior Mesenteric Angioplasty and Stenting for Chronic Mesenteric Ischemia: A Single-Center

Kanapathi Rajaratnam1, Kosmas I Paraskevas1, Ahmad Hariz Ramli1

  • 11 Department of Vascular Surgery, Northern Vascular Center, Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom.

Angiology
|August 20, 2016
PubMed

Insights

Endovascular angioplasty and stenting offer significant symptom relief for chronic mesenteric ischemia (CMI) patients. While effective for many, surgical revascularization should be considered if endovascular treatment fails to improve symptoms.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Chronic mesenteric ischemia (CMI) management traditionally involved open surgical revascularization.
  • Endovascular techniques like angioplasty and stenting offer less invasive alternatives.

Purpose of the Study:

  • To evaluate the efficacy of endovascular angioplasty and stenting for CMI symptom relief.
  • To assess outcomes and identify potential complications of the procedure.

Main Methods:

  • Retrospective review of 45 patients with CMI undergoing celiac and/or mesenteric angioplasty and stenting.
  • Data collected from October 2006 to January 2016.

Main Results:

  • Successful symptom relief was achieved in 29 patients (complete) and 6 patients (partial).
  • 10 patients reported no improvement, and 3 experienced symptom recurrence due to stent occlusion.
  • Recurrence occurred between 3 and 36 months post-procedure.

Conclusions:

  • Angioplasty and stenting provide considerable symptomatic relief for a significant percentage of CMI patients.
  • Open surgical revascularization remains an option for patients unresponsive to endovascular therapy.

Keywords:
angioplastychronic mesenteric ischemiarevascularizationstenting

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