Endovascular treatment of chronic abdominal ischemg syndrome

DOI: https://doi.org/10.25512/DIR.2018.12.4.05

For quoting:
Shchegolev A.A., Papoyan S.A., Mutayev M.M., Krasnikov A.P., Radchenko A.N., Sazonov M.Y., Syromyatnikov D.D. "Endovascular treatment of chronic abdominal ischemg syndrome". Journal Diagnostic & interventional radiology. 2018; 12(4); 47-51.

authors:

Shchegolev A.A.

Papoyan S.A.

Mutayev M.M.

Krasnikov A.P.

Radchenko A.N.

Sazonov M.Y.

Syromyatnikov D.D.

keywords:

chronic abdominal pain syndrome

superior mesenteric artery

Abstract:

Aim: was to show results of visceral revascularization in patients with chronic abdomina ischemia.

Materials and methods: 24 patients with chronic abdominal ischemia underwent endovascular revascularization.

Results: technical success was 100%. After endovascular revascularization, 19 (90%) of symptomatic patients noted improvement in the state of health in the form of a significant decrease of dyspepsia and abdominal pain. In the long-term period, 15 patients were examined (within 1 year). All examined patients underwent ultrasound of the abdominal cavity and CTA of the aorta. All patients had no symptoms of abdominal ischemia and signs of restenosis.

Conclusions: endovascular methods should be considered as the first line in the treatment of atherosclerotic lesions of superior mesenteric artery (SMA) and celiac trunk, which are accompanied by fewer periprocedural complications and mortality, better rates of rehabilitation and shorter hospital stay.

References

1. Pokrovskij A.V., Kazanchan P.O., Dujikov A.A. Diagnosis and treatment of chronic abdominal ischemia. Rostov-on-Don: Rostov State University Publ., 1982; 321 [In Russ].

2. Furrer J, Grhntzig A, Kugelmeier J, Goebel N. Treatment of abdominal angina with percutaneous dilatation of an arteria mesenterica superior stenosis. Cardiovasc Intervent Radiol. 1980; 3: 434.

3. Gavrilenko A.V., Kosenkov A.N. Diagnosis and surgical treatment of chronic arterial ischemia. M.: Graal, 2000; 308 [in Russ].

4. Aouini F, Bouhaffa A, Baazaoui J, Khelifi S, Ben Maamer A, Hoaus N, Cherif A. Acute mesenteric ischemia: study of predictive factors of mortality. Tunis Med., 2012; 90(7): 533-6.

5. Rabkin I.H. Angiography guideline. M.: Meditsina, 1977; 279 [in Russ].

6. Shaws RS, Maynard EP Acute and chronic thrombosis of mesenteric arteries associated with malabsorption: a report of two cases successfully treated by thromboendarterectomy. N Engl. J. Med. 1958; 258: 8748

7. Pokrovskij A.V. Diseases of aorta and its branches. M.: Meditsina, 1979; 324 [in Russ].

8. Kougias P, El Sayed HF, Zhou W, Lin PH. Management of chronic mesenteric ischemia. The role of endovascular therapy. J. Endovasc. Ther. 2007; 14 (3): 395-405.

9. Beaulieu R.J., Arnaoutakis K.D., Abularrage C.J., Efron D.T., Schneider E., Black J.H. Comparison of open and endovascular treatment of acute mesenteric ischemia. J. Vasc. Surg. 2014; 59 (1): 159-64.

10. Schermerhorn M.L., Giles K.A., Hamdan A.D., Wyers M.C., Pomposelli F.B. Mesenteric revascularization: management and outcomes in the United States, 19882006. J. Vasc. Surg. 2009; 50: 341-8.

11. Moghadamyeghaneh Z., Carmichael J.C., Mills S.D., Dolich M.O., Pigazzi A., Fujitani R.M., et al. Early outcome of treatment of chronic mesenteric ischemia. Am. Surg. 2015;81:1149-56

12. Grilli C.J., Fedele C.R., Tahir O.M., et al. Recanalization of chronic total occlusions of the superior mesenteric artery in patients with chronic mesenteric ischemia: technical and clinical outcomes. J. Vasc. Interv. Radiol. 2014; 25(10):1515-1524

13. Sharafuddin M., Nicholson R., Kresowik T., Amin P.B., Hoballah J.J., Sharp W.J. Endovascular recanalization of total occlusions of the mesenteric and celiac arteries. J. Vasc. Surg. 2012; 55(6):1674-1681.