Heiss, P. and Zorger, N. and Kaempfel, I. and Jung, E. M. and Pfister, K. and Paetzel, C. and Feuerbach, S. and Herold, T. (2008) Stenting in the Treatment of Chronic Mesenteric Ischemia: Technical and Clinical Success Rates. ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 180 (10). pp. 906-914. ISSN 1438-9029,
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Purpose: To evaluate the technical and clinical success rates of percutaneous stent revascularization in the treatment of chronic mesenteric ischemia (CMI). Patients and Methods: 17 patients (12 female) with typical symptoms of CMI were treated by percutaneous stent placement for stenoses of the splanchnic arteries (celiac trunk; superior mesenteric artery, SMA; inferior mesenteric artery, IMA). The primary and secondary technical Success, primary and secondary clinical Success, and the long-term clinical Outcome were determined. Results: A total of 24 stents were implanted in 21 splanchnic arteries (12 stents in the celiac trunk, 11 in the SMA and 1 in the IMA). The primary technical Success rate was 91 % (19/21 arteries), the secondary technical success rate was 95% (21/22 arteries). Clinical follow-up was available for 16 patients. The primary clinical Success rate was 81 % (13/16 patients). Following two secondary interventions, the secondary clinical success rate was 94% (15/16 patients). Longterm clinical success was achieved in 15 of 16 patients (94%) with a mean follow-up of 26 months. One patient died within 30 days of the intervention and two patients demonstrated major complications (1 dissection, 1 stent dislocation). None of the patients required surgical revascularization and none of the patients died due to recurrent mesenteric ischemia. Conclusion: Percutaneous stent placement for the treatment of CMI can be performed with a high technical and clinical success rate as well as an excellent long-term clinical outcome.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; ENDOVASCULAR TREATMENT; FOLLOW-UP; PLACEMENT; STENOSES; BYPASS; mesenteric ischemia; chronic; interventional therapy; stent |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 23 Oct 2020 07:38 |
| Last Modified: | 23 Oct 2020 07:38 |
| URI: | https://pred.uni-regensburg.de/id/eprint/30257 |
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