Endovascular repair for acute mesenteric ischemia: case report
BMC Geriatrics volume 11, Article number: A17 (2011)
Acute mesenteric ischemia (AMI) is an abdominal emergency caused by: embolism (40-50%), with Superior Mesenteric Artery (SMA) thrombosis (20-25%), mesenteric venous thrombosis (5%) and non occlusive mesenteric ischemia (20%). The mortality rate is high and ranges from 64 to 93%.
We present a case of a 75-year-old patient with acute occlusive mesenteric ischemia that was successfully treated with endovascular intervention.
Angiography revealed high-grade stenosis of the proximal tract of the SMA. Immediate option for endovascular therapy was made, and a MARIS self-expandable 6x40 mm stent was positioned. The patient was discharged 2 days after with full recovery from the symptoms.
Control angiography showed the correct apposition of the stent and regular flow inside. The patient was symptom free 12 months later.
We suggest that the endovascular technique is a valid option in patients with AMI preventing intestinal infarction.
Peck MA, Conrad MF, Kwolek CJ, LaMuraglia GM, Paruchuri V, Cambria RP: Intermediate-outcomes of endovascular treatment for symptomatic chronic mesenteric ischemia. J Vasc Surg. 2010, 51: 140-7. 10.1016/j.jvs.2009.06.064.
Aksu C, Demirpolat G, Oran I, Parildar M, Memis A: Stent Implantation in Chronic Mesenteric Ischemia. Acta Radiol. 2009, 50: 610-616. 10.1080/02841850902953873.
Atkins MD, Kwolek CJ, LaMuraglia GM, Brewster DC, Chung TK, Cambria RP: Surgical revascularization versus endovascular therapy for chronic mesenteric ischemia: a comparative experience. J Vasc Surg. 2007, 45: 1162-71. 10.1016/j.jvs.2007.01.067.
Nyman U, Ivancev K, Lindh M, Uher P: Endovascular Treatment of Chronic Mesenteric Ischemia: report of Five Cases. Cardiovasc Intervent Radiol. 1998, 21: 301-313.
Demirpolat G, Oran I, Tamsel S, Parildar M, Memis A: Acute mesenteric ischemia: endovascular therapy. Abdom Imaging. 2007, 32: 299-303. 10.1007/s00261-006-9074-3.
Fioole B, van de Rest HJM, Meijer JRM, van Leersum M, van Koeverden S, Moll FL, van den Berg JC, de Vries PM JP: Percutaneous transluminal angioplasty and stenting as first-choice treatment is patients with chronic mesenteric ischemia. J Vasc Surg. 2010, 51: 386-391. 10.1016/j.jvs.2009.08.055.
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Fiengo, L., Paciotti, C., Patrizi, G. et al. Endovascular repair for acute mesenteric ischemia: case report. BMC Geriatr 11 (Suppl 1), A17 (2011). https://doi.org/10.1186/1471-2318-11-S1-A17
- Venous Thrombosis
- Superior Mesenteric Artery
- Endovascular Intervention
- Mesenteric Ischemia
- Endovascular Therapy