Skip to main content
Erschienen in: Current Treatment Options in Cardiovascular Medicine 2/2010

01.04.2010 | Vascular Disease

Current Concepts in the Management of Chronic Mesenteric Ischemia

verfasst von: Gustavo S. Oderich, MD

Erschienen in: Current Treatment Options in Cardiovascular Medicine | Ausgabe 2/2010

Einloggen, um Zugang zu erhalten

Opinion statement

Treatment of chronic mesenteric ischemia has evolved during the past two decades. Endovascular treatment has emerged as an alternative to bypass in elderly and higher-risk patients and is now the primary treatment modality for most patients with suitable lesions, independent of their surgical risk. Open surgical revascularization still has an important role for patients with more extensive disease, including those with long-segment stenosis or occlusions, small vessel diameter, multiple tandem lesions, or severe calcification. This article summarizes current concepts in the epidemiology, natural history, treatment selection, and outcomes of open and endovascular mesenteric reconstruction for chronic mesenteric ischemia.
Literatur
1.
Zurück zum Zitat Dunphy JE: Abdominal pain of vascular origin. Am J Med Sci 1936, 192:109.CrossRef Dunphy JE: Abdominal pain of vascular origin. Am J Med Sci 1936, 192:109.CrossRef
2.
Zurück zum Zitat Thomas JH, Blake K, Pierce GE, et al.: The clinical course of asymptomatic mesenteric arterial stenosis. J Vasc Surg 1998, 27:840–844.CrossRefPubMed Thomas JH, Blake K, Pierce GE, et al.: The clinical course of asymptomatic mesenteric arterial stenosis. J Vasc Surg 1998, 27:840–844.CrossRefPubMed
3.
Zurück zum Zitat Wilson DB, Mostafavi K, Craven TE, et al.: Clinical course of mesenteric artery stenosis in elderly Americans. Arch Intern Med 2006, 166(19):2095–2100.CrossRefPubMed Wilson DB, Mostafavi K, Craven TE, et al.: Clinical course of mesenteric artery stenosis in elderly Americans. Arch Intern Med 2006, 166(19):2095–2100.CrossRefPubMed
4.
Zurück zum Zitat Sullivan TM, Oderich GS, Malgor RD, Ricotta JJ 2nd: Open and endovascular revascularization for chronic mesenteric ischemia: a tabular review of the literature. Ann Vasc Surg 2009, 23(5):700–712.CrossRefPubMed Sullivan TM, Oderich GS, Malgor RD, Ricotta JJ 2nd: Open and endovascular revascularization for chronic mesenteric ischemia: a tabular review of the literature. Ann Vasc Surg 2009, 23(5):700–712.CrossRefPubMed
5.
Zurück zum Zitat Rits Y, Oderich GS, Bower TC, et al.: Interventions for mesenteric vasculitis. J Vasc Surg 2010, 51(2):392–400. Rits Y, Oderich GS, Bower TC, et al.: Interventions for mesenteric vasculitis. J Vasc Surg 2010, 51(2):392–400.
6.
Zurück zum Zitat Delis KT, Gloviczki P: Middle aortic syndrome: from presentation to contemporary open surgical and endovascular treatment. Perspect Vasc Surg Endovasc Ther 2005, 17(3):187–203.CrossRefPubMed Delis KT, Gloviczki P: Middle aortic syndrome: from presentation to contemporary open surgical and endovascular treatment. Perspect Vasc Surg Endovasc Ther 2005, 17(3):187–203.CrossRefPubMed
7.
Zurück zum Zitat Oderich GS, Sullivan TM, Bower TC, et al.: Vascular abnormalities in patients with neurofibromatosis syndrome type I: clinical spectrum, management and results. J Vasc Surg 2007, 46:475–484.CrossRefPubMed Oderich GS, Sullivan TM, Bower TC, et al.: Vascular abnormalities in patients with neurofibromatosis syndrome type I: clinical spectrum, management and results. J Vasc Surg 2007, 46:475–484.CrossRefPubMed
8.
Zurück zum Zitat West CA, Delis KT, Service GJ, et al.: Middle aortic syndrome: surgical treatment in a child with neurofibromatosis. J Vasc Surg 2005, 42(6):1236.CrossRefPubMed West CA, Delis KT, Service GJ, et al.: Middle aortic syndrome: surgical treatment in a child with neurofibromatosis. J Vasc Surg 2005, 42(6):1236.CrossRefPubMed
9.•
Zurück zum Zitat Oderich GS, Bower TC, Sullivan TM, et al.: Open and endovascular revascularization for chronic mesenteric ischemia: risk stratified outcomes. J Vasc Surg 2009, 4(6):1472–1479.CrossRef Oderich GS, Bower TC, Sullivan TM, et al.: Open and endovascular revascularization for chronic mesenteric ischemia: risk stratified outcomes. J Vasc Surg 2009, 4(6):1472–1479.CrossRef
10.
Zurück zum Zitat Marston A: Chronic intestinal ischemia. In Vascular Disease of the Gastrointestinal Tract: Pathophysiology, Recognition and Management. Baltimore: Williams and Wilkins; 1986:116. Marston A: Chronic intestinal ischemia. In Vascular Disease of the Gastrointestinal Tract: Pathophysiology, Recognition and Management. Baltimore: Williams and Wilkins; 1986:116.
11.
Zurück zum Zitat Moneta GL, Lee RW, Yeager RA, et al.: Mesenteric duplex scanning: a blinded prospective study. J Vasc Surg 1993, 17:79.CrossRefPubMed Moneta GL, Lee RW, Yeager RA, et al.: Mesenteric duplex scanning: a blinded prospective study. J Vasc Surg 1993, 17:79.CrossRefPubMed
12.
Zurück zum Zitat Bowersox JC, Zwalak RM, Walsh DB, et al.: Duplex ultrasonography in the diagnosis of celiac and mesenteric artery occlusive disease. J Vasc Surg 1991, 14:780.CrossRefPubMed Bowersox JC, Zwalak RM, Walsh DB, et al.: Duplex ultrasonography in the diagnosis of celiac and mesenteric artery occlusive disease. J Vasc Surg 1991, 14:780.CrossRefPubMed
13.
Zurück zum Zitat Leke MA, Hood DB, Rowe VL, et al.: Technical consideration in the management of chronic mesenteric ischemia. Am Surg 2002, 68(12):1088–1092.PubMed Leke MA, Hood DB, Rowe VL, et al.: Technical consideration in the management of chronic mesenteric ischemia. Am Surg 2002, 68(12):1088–1092.PubMed
14.
Zurück zum Zitat Park WM, Gloviczki P, Cherry KJ, et al.: Contemporary management of acute mesenteric ischemia: factors associated with survival. J Vasc Surg 2002, 35:445–452.CrossRefPubMed Park WM, Gloviczki P, Cherry KJ, et al.: Contemporary management of acute mesenteric ischemia: factors associated with survival. J Vasc Surg 2002, 35:445–452.CrossRefPubMed
15.
Zurück zum Zitat Oderich GS, Gloviczki P, Bower TC: Open surgical treatment for chronic mesenteric ischemia: when it is necessary and what is the preferred technique? Semin Vasc Surg 2010 (In press). Oderich GS, Gloviczki P, Bower TC: Open surgical treatment for chronic mesenteric ischemia: when it is necessary and what is the preferred technique? Semin Vasc Surg 2010 (In press).
16.
Zurück zum Zitat Oderich GS, Macedo TA, Malgor R, et al.: Natural history, clinical and anatomical predictors of mesenteric artery stent restenosis in patients with chronic mesenteric ischemia. Presented at the 2009 Meeting of the Society for Vascular Surgery. Denver, CO; June 11–14. Oderich GS, Macedo TA, Malgor R, et al.: Natural history, clinical and anatomical predictors of mesenteric artery stent restenosis in patients with chronic mesenteric ischemia. Presented at the 2009 Meeting of the Society for Vascular Surgery. Denver, CO; June 11–14.
17.
Zurück zum Zitat Oderich GS, Macedo TA, Malgor R, et al.: Anatomic measurements and factors associated with embolic events during superior mesenteric artery stenting: implications for use of embolic protection devices. Presented at the 2009 Meeting of the Society for Clinical Vascular Surgery. Fort Lauderdale, FL; March 18–21, 2009. Oderich GS, Macedo TA, Malgor R, et al.: Anatomic measurements and factors associated with embolic events during superior mesenteric artery stenting: implications for use of embolic protection devices. Presented at the 2009 Meeting of the Society for Clinical Vascular Surgery. Fort Lauderdale, FL; March 18–21, 2009.
18.
Zurück zum Zitat Malgor R, Oderich GS, Ricotta JJ 2nd, et al.: Single- versus two-vessel mesenteric artery stenting for chronic mesenteric ischemia. Ann Vasc Surg 2010 (In press). Malgor R, Oderich GS, Ricotta JJ 2nd, et al.: Single- versus two-vessel mesenteric artery stenting for chronic mesenteric ischemia. Ann Vasc Surg 2010 (In press).
19.
Zurück zum Zitat Wyers MC, Powell RJ, Nolan BW, Cronenwett JL: Retrograde mesenteric stenting during laparotomy for acute occlusive mesenteric ischemia. J Vasc Surg 2007, 45:269–275.CrossRefPubMed Wyers MC, Powell RJ, Nolan BW, Cronenwett JL: Retrograde mesenteric stenting during laparotomy for acute occlusive mesenteric ischemia. J Vasc Surg 2007, 45:269–275.CrossRefPubMed
20.
Zurück zum Zitat Park WM, Cherry KJ Jr, Chua HK, et al.: Current results of open revascularization for chronic mesenteric ischemia: a standard for comparison. J Vasc Surg 2002, 35(5):853–859.CrossRefPubMed Park WM, Cherry KJ Jr, Chua HK, et al.: Current results of open revascularization for chronic mesenteric ischemia: a standard for comparison. J Vasc Surg 2002, 35(5):853–859.CrossRefPubMed
21.
Zurück zum Zitat Foley MI, Moneta GL, Abou-Zamzam AM Jr, et al.: Revascularization of the superior mesenteric artery alone for treatment of intestinal ischemia. J Vasc Surg 2000, 32(1):37–47.CrossRefPubMed Foley MI, Moneta GL, Abou-Zamzam AM Jr, et al.: Revascularization of the superior mesenteric artery alone for treatment of intestinal ischemia. J Vasc Surg 2000, 32(1):37–47.CrossRefPubMed
22.
Zurück zum Zitat Hollier LH, Bernatz PE, Pairolero PC, et al.: Surgical management of chronic intestinal ischemia: a reappraisal. Surgery 1981, 90(6):940–946.PubMed Hollier LH, Bernatz PE, Pairolero PC, et al.: Surgical management of chronic intestinal ischemia: a reappraisal. Surgery 1981, 90(6):940–946.PubMed
23.
Zurück zum Zitat McAfee MK, Cherry KJ, Naessens JM, et al.: Influence of complete revascularization on chronic mesenteric ischemia. Am J Surg 1992, 164:220–224.CrossRefPubMed McAfee MK, Cherry KJ, Naessens JM, et al.: Influence of complete revascularization on chronic mesenteric ischemia. Am J Surg 1992, 164:220–224.CrossRefPubMed
24.
Zurück zum Zitat Kihara TK, Blebea J, Anderson KM, et al.: Risk factors and outcomes following revascularization for chronic mesenteric ischemia. Ann Vasc Surg 1999, 13(1):37–44.CrossRefPubMed Kihara TK, Blebea J, Anderson KM, et al.: Risk factors and outcomes following revascularization for chronic mesenteric ischemia. Ann Vasc Surg 1999, 13(1):37–44.CrossRefPubMed
25.
Zurück zum Zitat Mateo RB, O’Hara PJ, Hertzer NR, et al.: Elective surgical treatment of symptomatic chronic mesenteric occlusive disease: early results and late outcomes. J Vasc Surg 1999, 29(5):821–831; discussion 832.CrossRefPubMed Mateo RB, O’Hara PJ, Hertzer NR, et al.: Elective surgical treatment of symptomatic chronic mesenteric occlusive disease: early results and late outcomes. J Vasc Surg 1999, 29(5):821–831; discussion 832.CrossRefPubMed
26.
Zurück zum Zitat Biebl M, Oldenburg WA, Paz-Fumagalli R, et al.: Endovascular treatment as a bridge to successful surgical revascularization for chronic mesenteric ischemia. Am Surg 2004, 70(11):994–998.PubMed Biebl M, Oldenburg WA, Paz-Fumagalli R, et al.: Endovascular treatment as a bridge to successful surgical revascularization for chronic mesenteric ischemia. Am Surg 2004, 70(11):994–998.PubMed
27.
Zurück zum Zitat Brown DJ, Schermerhorn ML, Powell RJ, et al.: Mesenteric stenting for chronic mesenteric ischemia. J Vasc Surg 2005, 42(2):268–274.CrossRefPubMed Brown DJ, Schermerhorn ML, Powell RJ, et al.: Mesenteric stenting for chronic mesenteric ischemia. J Vasc Surg 2005, 42(2):268–274.CrossRefPubMed
28.
Zurück zum Zitat Sivamurthy N, Rhodes JM, Lee D, et al.: Endovascular versus open mesenteric revascularization: immediate benefits do not equate with short-term functional outcomes. J Am Coll Surg 2006, 202(6):859–867.CrossRefPubMed Sivamurthy N, Rhodes JM, Lee D, et al.: Endovascular versus open mesenteric revascularization: immediate benefits do not equate with short-term functional outcomes. J Am Coll Surg 2006, 202(6):859–867.CrossRefPubMed
29.
Zurück zum Zitat Mell MW, Acher CW, Hoch JR, et al.: Outcomes after endarterectomy for chronic mesenteric ischemia. J Vasc Surg 2008, 48:1132–1138.CrossRefPubMed Mell MW, Acher CW, Hoch JR, et al.: Outcomes after endarterectomy for chronic mesenteric ischemia. J Vasc Surg 2008, 48:1132–1138.CrossRefPubMed
30.•
Zurück zum Zitat Schermerhorn ML, Giles KA, Hamdan AD, et al.: Mesenteric revascularization: management and outcomes in the United States, 1988–2006. J Vasc Surg 2009, 50:341–348.CrossRefPubMed Schermerhorn ML, Giles KA, Hamdan AD, et al.: Mesenteric revascularization: management and outcomes in the United States, 1988–2006. J Vasc Surg 2009, 50:341–348.CrossRefPubMed
31.
Zurück zum Zitat Cho JS, Carr JA, Jacobsen G, et al.: Long-term outcome after mesenteric artery reconstruction: a 37-year experience. J Vasc Surg 2002, 35(3):453–460.CrossRefPubMed Cho JS, Carr JA, Jacobsen G, et al.: Long-term outcome after mesenteric artery reconstruction: a 37-year experience. J Vasc Surg 2002, 35(3):453–460.CrossRefPubMed
32.
Zurück zum Zitat Illuminati G, Calio FG, D’Urso A, et al.: The surgical treatment of chronic mesenteric ischemia: results of a recent series. Acta Chir Belg 2004, 104(2):175–183.PubMed Illuminati G, Calio FG, D’Urso A, et al.: The surgical treatment of chronic mesenteric ischemia: results of a recent series. Acta Chir Belg 2004, 104(2):175–183.PubMed
33.
Zurück zum Zitat Kruger AJ, Walker PJ, Foster WJ, et al.: Open surgery for chronic atherosclerotic mesenteric ischemia. J Vasc Surg 2007, 46:941–945.CrossRefPubMed Kruger AJ, Walker PJ, Foster WJ, et al.: Open surgery for chronic atherosclerotic mesenteric ischemia. J Vasc Surg 2007, 46:941–945.CrossRefPubMed
34.
Zurück zum Zitat Atkins MD, Kwolek CJ, LaMuraglia GM, et al.: Surgical revascularization versus endovascular therapy for chronic mesenteric ischemia: a comparative experience. J Vasc Surg 2007, 45(6):1162–1171.CrossRefPubMed Atkins MD, Kwolek CJ, LaMuraglia GM, et al.: Surgical revascularization versus endovascular therapy for chronic mesenteric ischemia: a comparative experience. J Vasc Surg 2007, 45(6):1162–1171.CrossRefPubMed
35.
Zurück zum Zitat Kasirajan K, O’Hara PJ, Gray BH, et al.: Chronic mesenteric ischemia: open surgery versus percutaneous angioplasty and stenting. J Vasc Surg 2001, 33(1):63–71.CrossRefPubMed Kasirajan K, O’Hara PJ, Gray BH, et al.: Chronic mesenteric ischemia: open surgery versus percutaneous angioplasty and stenting. J Vasc Surg 2001, 33(1):63–71.CrossRefPubMed
36.
Zurück zum Zitat Rose SC, Quigley TM, Raker EJ: Revascularization for chronic mesenteric ischemia: comparison of operative arterial bypass grafting and percutaneous transluminal angioplasty. J Vasc Interv Radiol 1995, 6(3):339–349.CrossRefPubMed Rose SC, Quigley TM, Raker EJ: Revascularization for chronic mesenteric ischemia: comparison of operative arterial bypass grafting and percutaneous transluminal angioplasty. J Vasc Interv Radiol 1995, 6(3):339–349.CrossRefPubMed
37.
Zurück zum Zitat Moawad J, McKinsey JF, Wyble CW, et al.: Current results of surgical therapy for chronic mesenteric ischemia. Arch Surg 1997, 132(6):613–618; discussion 618–619.PubMed Moawad J, McKinsey JF, Wyble CW, et al.: Current results of surgical therapy for chronic mesenteric ischemia. Arch Surg 1997, 132(6):613–618; discussion 618–619.PubMed
38.
Zurück zum Zitat Sheeran SR, Murphy TP, Khwaja A, et al.: Stent placement for treatment of mesenteric artery stenoses or occlusions. J Vasc Interv Radiol 1999, 10(7):861–867.CrossRefPubMed Sheeran SR, Murphy TP, Khwaja A, et al.: Stent placement for treatment of mesenteric artery stenoses or occlusions. J Vasc Interv Radiol 1999, 10(7):861–867.CrossRefPubMed
39.
Zurück zum Zitat Matsumoto AH, Angle JF, Spinosa DJ, et al.: Percutaneous transluminal angioplasty and stenting in the treatment of chronic mesenteric ischemia: results and longterm followup. J Am Coll Surg 2002, 194(1 Suppl):S22–S31.CrossRefPubMed Matsumoto AH, Angle JF, Spinosa DJ, et al.: Percutaneous transluminal angioplasty and stenting in the treatment of chronic mesenteric ischemia: results and longterm followup. J Am Coll Surg 2002, 194(1 Suppl):S22–S31.CrossRefPubMed
40.
Zurück zum Zitat Cognet F, Ben Salem D, Dranssart M, et al.: Chronic mesenteric ischemia: imaging and percutaneous treatment. Radiographics 2002, 22(4):863–879; discussion 879–880.PubMed Cognet F, Ben Salem D, Dranssart M, et al.: Chronic mesenteric ischemia: imaging and percutaneous treatment. Radiographics 2002, 22(4):863–879; discussion 879–880.PubMed
41.
Zurück zum Zitat Steinmetz E, Tatou E, Favier-Blavoux C, et al.: Endovascular treatment as first choice in chronic intestinal ischemia. Ann Vasc Surg 2002, 16(6):693–699.CrossRefPubMed Steinmetz E, Tatou E, Favier-Blavoux C, et al.: Endovascular treatment as first choice in chronic intestinal ischemia. Ann Vasc Surg 2002, 16(6):693–699.CrossRefPubMed
42.
Zurück zum Zitat Sharafuddin MJ, Olson CH, Sun S, et al.: Endovascular treatment of celiac and mesenteric arteries stenoses: applications and results. J Vasc Surg 2003, 38(4):692–698.CrossRefPubMed Sharafuddin MJ, Olson CH, Sun S, et al.: Endovascular treatment of celiac and mesenteric arteries stenoses: applications and results. J Vasc Surg 2003, 38(4):692–698.CrossRefPubMed
43.
Zurück zum Zitat AbuRahma AF, Stone PA, Bates MC, Welch CA: Angioplasty/stenting of the superior mesenteric artery and celiac trunk: early and late outcomes. J Endovasc Ther 2003, 10(6):1046–1053.CrossRefPubMed AbuRahma AF, Stone PA, Bates MC, Welch CA: Angioplasty/stenting of the superior mesenteric artery and celiac trunk: early and late outcomes. J Endovasc Ther 2003, 10(6):1046–1053.CrossRefPubMed
44.
Zurück zum Zitat Chahid T, Alfidja AT, Biard M, et al.: Endovascular treatment of chronic mesenteric ischemia: results in 14 patients. Cardiovasc Intervent Radiol 2004, 27(6):637–642.CrossRefPubMed Chahid T, Alfidja AT, Biard M, et al.: Endovascular treatment of chronic mesenteric ischemia: results in 14 patients. Cardiovasc Intervent Radiol 2004, 27(6):637–642.CrossRefPubMed
45.
Zurück zum Zitat van Wanroij JL, van Petersen AS, Huisman AB, et al.: Endovascular treatment of chronic splanchnic syndrome. Eur J Vasc Endovasc Surg 2004, 28(2):193–200.PubMed van Wanroij JL, van Petersen AS, Huisman AB, et al.: Endovascular treatment of chronic splanchnic syndrome. Eur J Vasc Endovasc Surg 2004, 28(2):193–200.PubMed
46.
Zurück zum Zitat Landis MS, Rajan DK, Simons ME, et al.: Percutaneous management of chronic mesenteric ischemia: outcomes after intervention. J Vasc Interv Radiol 2005, 16(10):1319–1325.PubMed Landis MS, Rajan DK, Simons ME, et al.: Percutaneous management of chronic mesenteric ischemia: outcomes after intervention. J Vasc Interv Radiol 2005, 16(10):1319–1325.PubMed
47.
Zurück zum Zitat Resch T, Lindh M, Dias N, et al.: Endovascular recanalization in occlusive mesenteric ischemia—feasibility and early results. Eur J Vasc Endovasc Surg 2005, 29(2):199–203.CrossRefPubMed Resch T, Lindh M, Dias N, et al.: Endovascular recanalization in occlusive mesenteric ischemia—feasibility and early results. Eur J Vasc Endovasc Surg 2005, 29(2):199–203.CrossRefPubMed
48.
Zurück zum Zitat Schaefer PJ, Schaefer FK, Hinrichsen H, et al.: Stent placement with the monorail technique for treatment of mesenteric artery stenosis. J Vasc Interv Radiol 2006, 17(4):637–643.CrossRefPubMed Schaefer PJ, Schaefer FK, Hinrichsen H, et al.: Stent placement with the monorail technique for treatment of mesenteric artery stenosis. J Vasc Interv Radiol 2006, 17(4):637–643.CrossRefPubMed
49.
Zurück zum Zitat Silva JA, White CJ, Collins TJ, et al.: Endovascular therapy for chronic mesenteric ischemia. J Am Coll Cardiol 2006, 47(5):944–950.CrossRefPubMed Silva JA, White CJ, Collins TJ, et al.: Endovascular therapy for chronic mesenteric ischemia. J Am Coll Cardiol 2006, 47(5):944–950.CrossRefPubMed
50.
Zurück zum Zitat Piffaretti G, Tozzi M, Lomazzi C, et al.: Endovascular therapy for chronic mesenteric ischemia. World J Surg 2007, 31(12):2416–2421.CrossRefPubMed Piffaretti G, Tozzi M, Lomazzi C, et al.: Endovascular therapy for chronic mesenteric ischemia. World J Surg 2007, 31(12):2416–2421.CrossRefPubMed
51.
Zurück zum Zitat Fenwick JL, Wright IA, Buckenham TM: Endovascular repair of chronic mesenteric occlusive disease: the role of duplex surveillance. ANZ J Surg 2007, 77(1–2):60–63.CrossRefPubMed Fenwick JL, Wright IA, Buckenham TM: Endovascular repair of chronic mesenteric occlusive disease: the role of duplex surveillance. ANZ J Surg 2007, 77(1–2):60–63.CrossRefPubMed
52.
Zurück zum Zitat Sarac TP, Altinel O, Kashyap V, et al.: Endovascular treatment of stenotic and occluded visceral arteries for chronic mesenteric ischemia. J Vasc Surg 2008, 47(3):485–491.CrossRefPubMed Sarac TP, Altinel O, Kashyap V, et al.: Endovascular treatment of stenotic and occluded visceral arteries for chronic mesenteric ischemia. J Vasc Surg 2008, 47(3):485–491.CrossRefPubMed
53.
Zurück zum Zitat Soga Y, Yokoi H, Iwabuchi M, Nobuyoshi M: Endovascular treatment of chronic mesenteric ischemia. Circ J 2008, 72(7):1198–1200.CrossRefPubMed Soga Y, Yokoi H, Iwabuchi M, Nobuyoshi M: Endovascular treatment of chronic mesenteric ischemia. Circ J 2008, 72(7):1198–1200.CrossRefPubMed
54.
Zurück zum Zitat Lee RW, Bakken AM, Palchik E, et al.: Long-term outcomes of endoluminal therapy for chronic atherosclerotic occlusive mesenteric disease. Ann Vasc Surg 2008, 22(4):541–546.CrossRefPubMed Lee RW, Bakken AM, Palchik E, et al.: Long-term outcomes of endoluminal therapy for chronic atherosclerotic occlusive mesenteric disease. Ann Vasc Surg 2008, 22(4):541–546.CrossRefPubMed
55.
Zurück zum Zitat Dias NV, Acosta S, Resch T, et al.: Mid-term outcome of endovascular revascularization for chronic mesenteric ischaemia. Br J Surg 2010, 97(2):195–201.CrossRefPubMed Dias NV, Acosta S, Resch T, et al.: Mid-term outcome of endovascular revascularization for chronic mesenteric ischaemia. Br J Surg 2010, 97(2):195–201.CrossRefPubMed
56.
Zurück zum Zitat Fioole B, van de Rest HJ, Meijer JR, et al.: Percutaneous transluminal angioplasty and stenting as first-choice treatment in patients with chronic mesenteric ischemia. J Vasc Surg 2009 Nov 2 (Epub ahead of print). Fioole B, van de Rest HJ, Meijer JR, et al.: Percutaneous transluminal angioplasty and stenting as first-choice treatment in patients with chronic mesenteric ischemia. J Vasc Surg 2009 Nov 2 (Epub ahead of print).
57.
Zurück zum Zitat Aksu C, Demirpolat G, Oran I, et al.: Stent implantation for chronic mesenteric ischemia. Acta Radiol 2009, 50(6):610–616.CrossRefPubMed Aksu C, Demirpolat G, Oran I, et al.: Stent implantation for chronic mesenteric ischemia. Acta Radiol 2009, 50(6):610–616.CrossRefPubMed
58.
Zurück zum Zitat Modrall JG, Sadjadi J, Joiner DR, et al.: Comparison of superficial femoral vein and saphenous vein as conduits for mesenteric arterial bypass. J Vasc Surg 2003, 37(2):362–366.CrossRefPubMed Modrall JG, Sadjadi J, Joiner DR, et al.: Comparison of superficial femoral vein and saphenous vein as conduits for mesenteric arterial bypass. J Vasc Surg 2003, 37(2):362–366.CrossRefPubMed
Metadaten
Titel
Current Concepts in the Management of Chronic Mesenteric Ischemia
verfasst von
Gustavo S. Oderich, MD
Publikationsdatum
01.04.2010
Verlag
Current Science Inc.
Erschienen in
Current Treatment Options in Cardiovascular Medicine / Ausgabe 2/2010
Print ISSN: 1092-8464
Elektronische ISSN: 1534-3189
DOI
https://doi.org/10.1007/s11936-010-0061-1

Weitere Artikel der Ausgabe 2/2010

Current Treatment Options in Cardiovascular Medicine 2/2010 Zur Ausgabe

„Jeder Fall von plötzlichem Tod muss obduziert werden!“

17.05.2024 Plötzlicher Herztod Nachrichten

Ein signifikanter Anteil der Fälle von plötzlichem Herztod ist genetisch bedingt. Um ihre Verwandten vor diesem Schicksal zu bewahren, sollten jüngere Personen, die plötzlich unerwartet versterben, ausnahmslos einer Autopsie unterzogen werden.

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Schlechtere Vorhofflimmern-Prognose bei kleinem linken Ventrikel

17.05.2024 Vorhofflimmern Nachrichten

Nicht nur ein vergrößerter, sondern auch ein kleiner linker Ventrikel ist bei Vorhofflimmern mit einer erhöhten Komplikationsrate assoziiert. Der Zusammenhang besteht nach Daten aus China unabhängig von anderen Risikofaktoren.

Semaglutid bei Herzinsuffizienz: Wie erklärt sich die Wirksamkeit?

17.05.2024 Herzinsuffizienz Nachrichten

Bei adipösen Patienten mit Herzinsuffizienz des HFpEF-Phänotyps ist Semaglutid von symptomatischem Nutzen. Resultiert dieser Benefit allein aus der Gewichtsreduktion oder auch aus spezifischen Effekten auf die Herzinsuffizienz-Pathogenese? Eine neue Analyse gibt Aufschluss.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.