Journal of the Formosan Medical Association
Volume 109, Issue 4 , Pages 315-319, April 2010

Endovascular Therapy for a Patient With Chronic Mesenteric Ischemia

  • Shin Rong Ke

      Affiliations

    • Department of Internal Medicine, Keelung Hospital, Department Health Executive Yuan, Keelung, Taipei, Taiwan
    • ,
  • Fu-Tien Chiang

      Affiliations

    • Department of Internal Medicine and Laboratory Medicine, National Taiwan University Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Fu-Tien Chiang, Department of Internal Medicine and Laboratory Medicine, National Taiwan University Hospital, Taipei, Taiwan

Received 5 December 2007; received in revised form 18 May 2008; accepted 14 July 2008.

Percutaneous transluminal angioplasty is now used widely in the revascularization of peripheral artery disease. We report the case of a 75-year-old woman with chronic mesenteric ischemia, who presented with postprandial abdominal pain, food fear, and weight loss for 6 months. Mesenteric angiography showed critical stenosis in the celiac trunk, and superior and inferior mesenteric arteries. Instead of surgical revascularization, balloon angioplasty and stenting was performed on the celiac trunk and superior mesenteric artery. The patient had improved appetite and weight gain after the procedure. This case report demonstrates the clinical benefit of multiple vessel intervention with stenting in the treatment of chronic mesenteric ischemia.

Key Words:  angioplasty , atherosclerosis , chronic mesenteric ischemia , elderly , stenting

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PII: S0929-6646(10)60058-7

doi:10.1016/S0929-6646(10)60058-7

Journal of the Formosan Medical Association
Volume 109, Issue 4 , Pages 315-319, April 2010

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