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178225

Endovascular Management of Chronic Mesenteric Ischemia

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Last updated: 23 Jan 2023

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Abstract

Aim:The purpose of this study was to review the effectiveness and feasibility of endovascular intervention for chronic mesenteric ischemia and its effect on morbidity and mortality.   Patients and methods: Between march 2014, and October 2016, 7 patients diagnosed with chronic mesenteric ischemia had endovascular treatment. Demographic, clinical, diagnostic and procedure-related data were recorded, and strict follow up was done for 24 month postoperative.   Results: Data was obtained for 7 patients who underwent endovascular procedures during the study period. Superior mesenteric artery (SMA) was affected in all patients, inferior mesenteric in 3 patients (42.9%) and celiac artery was affected in 2 patients (28.6%)Technical success was achieved in 6 patients. SMA was the main target for revascularization. Technical success was achieved in 6 patients (85.7%). 24 month Primary assisted patency was 71.4%. There were no major complications, minor complications occurred in 2 patients (28.6%).   Conclusion: Endovascular management of chronic mesenteric ischemia has comparable outcome to surgical solutions but with less morbidity and mortality. However strict follow up and timely secondary intervention is mandatory.  

DOI

10.21608/asjs.2018.178225

Keywords

Endovascular therapy, stent, chronic mesenteric ischemia, celiac artery, superior mesenteric artery, inferior mesenteric artery

Authors

First Name

Mohamed

Last Name

Ismail

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Affiliation

Department of Vascular Surgery, Ain Shams University, Cairo, Egypt

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Orcid

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First Name

Ramez Mounir

Last Name

Wahba

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Affiliation

Department of Vascular Surgery, Ain Shams University, Cairo, Egypt

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Orcid

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First Name

Atef

Last Name

Abd Elhameed

MiddleName

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Affiliation

Department of Vascular Surgery, Ain Shams University, Cairo, Egypt

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Volume

11

Article Issue

2

Related Issue

25664

Issue Date

2018-07-01

Receive Date

2021-06-17

Publish Date

2018-07-01

Page Start

124

Page End

129

Print ISSN

2090-7249

Link

https://asjs.journals.ekb.eg/article_178225.html

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https://asjs.journals.ekb.eg/service?article_code=178225

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Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

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Article

Created At

23 Jan 2023