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.

Article Outline

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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References 

  1. Thomas JH , Blake K , Pierce GE , et al.   The clinical course of asymptomatic mesenteric arterial stenosis . J Vasc Surg . 1998;27:840–844
  2. Mateo RB , O'Hara PJ , Hertzer NR , et al.   Elective surgical treatment of symptomatic chronic mesenteric chronic mesenteric occlusive disease: early results and late outcome . J Vasc Surg . 1999;29:821–831
  3. Zelenock GB , Graham LM , Whitehouse WM , et al.   Splanchnic arteriosclerotic disease and intestinal angina . Arch Surg . 1980;115:497–501
  4. Furrer J , Gruntzig A , Kugelmeier J , et al.   Treatment of abdominal angina with percutaneous dilatation of an arteria mesenterica superior stenosis . Cardiovasc Intervent Radiol . 1980;3:43–44
  5. Sharafuddin MJ , Olson CH , Sun S , et al.   Endovascular treatment of celic and mesenteric arteries stenosis: applications and results . J Vasc Surg . 2003;38:692–698
  6. Landis MS , Rajan DK , Simons ME , et al.   Percutaneous management of chronic mesenteric ischemia: outcomes after intervention . J Vasc Interv Radiol . 2005;16:1319–1325
  7. Sivamurthy N , Rhodes JM , Lee D , et al.   Endovascular versus open mesenteric revascularization: immediate benefit do not equate with short-term functional outcomes . J Am Coll Surg . 2006;202:859–867
  8. Van de ven PJ , Kaatee R , Beutler JJ , et al.   Arterial stenting and balloon angioplasty in ostial atherosclerotic renovascular disease: a randomized trial . Lancet . 1999;353:282–286
  9. Tetteroo E , van der Graaf Y , Bosch JL , et al.   Randomised comparison of primary stent placement versus primary angioplasty followed by selective stent placement in patients with iliac-artery occlusive disease . Lancet . 1998;351:1153–1159
  10. Silva JA , White CJ , Collins TJ , et al.   Endovascular therapy for chronic mesenteric ischemia . J Am Coll Cardiol . 2006;47:944–950

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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