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Treatment of acute mesenteric ischemia by percutaneous transluminal angioplasty

W H VanDeinse, J K Zawacki, D Phillips

    Gastroenterology
    |August 1, 1986
    PubMed

    Insights

    This study reports the first use of percutaneous transluminal angioplasty to successfully treat acute mesenteric ischemia caused by superior mesenteric artery stenosis, restoring blood flow and relieving pain.

    Area of Science:

    • Vascular Surgery
    • Interventional Radiology

    Background:

    • Atherosclerotic vascular disease can lead to mesenteric ischemia, a critical condition causing severe abdominal pain.
    • Superior mesenteric artery stenosis poses a significant risk for acute mesenteric ischemia.

    Observation:

    • A 79-year-old male with atherosclerotic vascular disease presented with acute abdominal pain and signs of peritoneal irritation.
    • Mesenteric arteriography revealed high-grade superior mesenteric artery stenosis and inferior mesenteric artery occlusion.

    Findings:

    • Percutaneous transluminal angioplasty (PTA) of the superior mesenteric artery was performed.
    • PTA resulted in immediate pressure gradient reduction, improved vessel caliber, and complete relief of abdominal pain.

    Implications:

    • This case demonstrates the potential efficacy of PTA in managing acute mesenteric ischemia.
    • Endovascular intervention offers a viable treatment option for mesenteric artery stenosis, potentially avoiding surgical intervention.

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