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[Percutaneous transluminal angioplasty in angina abdominis]
Insights
Percutaneous transluminal angioplasty (PTA) effectively treated atherosclerotic lesions causing abdominal angina in four patients. This minimally invasive procedure led to symptom resolution and satisfactory outcomes, even for isolated coeliac tripod stenoses.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Gastroenterology
Background:
- Atherosclerotic lesions in visceral arteries can cause abdominal angina.
- Treatment options for these lesions are limited, especially for isolated or oligo-symptomatic cases.
Purpose of the Study:
- To report personal experience with percutaneous transluminal angioplasty (PTA) for atherosclerotic lesions causing abdominal angina.
- To evaluate the efficacy and safety of PTA in a small cohort.
Main Methods:
- Percutaneous transluminal angioplasty (PTA) was performed on four patients (2 male, 2 female; aged 62-74).
- Patients had atherosclerotic lesions of the coeliac tripod and/or superior mesenteric artery.
- Angiography was used for diagnosis and outcome assessment.
Main Results:
- All four patients experienced a total disappearance of symptoms.
- Angiography confirmed satisfactory outcomes in all cases.
- No significant local or systemic complications were observed during or after the procedure.
Conclusions:
- Percutaneous transluminal angioplasty (PTA) is a safe and effective treatment for abdominal angina caused by atherosclerotic lesions.
- PTA may be a viable option for isolated, oligo-symptomatic stenoses of the coeliac tripod.
Abstract:
Personal experience in the use of percutaneous transluminal angioplasty (PTA) in the treatment of atherosclerotic lesions responsible for angina abdominis is reported. The series consists of two men and two women aged 62-74, three with isolated segmentary lesions of the coeliac tripod, two stenoses and an obstruction and the fourth with associated stenoses of the coeliac tripod and the superior mesenteric artery. No significant local or systemic complications arose and angiography revealed a satisfactory outcome in all 4 cases with total disappearance of symptoms even at follow up (minimum 12 months). Apart from the possible applications of PTA in the treatment of angina abdominis, the possibility of using it in the treatment of isolated oligo-symptomatic stenoses of the coeliac tripod is discussed.