Chronic mesenteric ischemia (CMI) is a rare condition that is caused by stenosis or occlusion of the mesenteric arteries and usually manifests as abdominal pain. The increased utilization of diagnostic abdominal cross-sectional imaging has improved the recognition of atherosclerotic mesenteric stenosis. Although surgical revascularization has been the standard treatment for symptomatic patients, recent advances in interventional procedures and techniques (percutaneous transluminal angioplasty (PTA) and stent placement) have made endovascular treatment viable and effective, obtaining good long-term results with an acceptable recurrence rate and consequently has...

A retrospective review of patients who were treated with endovascular therapy for CMI between July 2005 and November 2011 at a single institution was performed. Inclusion criteria were clinical and radiological findings consistent with CMI who underwentendovascular therapy (Fig. 2). Exclusion criteria were: incidental mesenteric artery stenosis without symptoms, prior open surgical revascularization of a mesentericartery for CMI and acute mesenteric ischemia. Patients Diagnosis: We obtained a non-invasive imaging in patients who had clinical symptoms of CMI (postprandial pain, generally epigastric or periumbilical, fear of...

Patient demographics (Table 1): The endovascular procedures were realized in 3 celiac arteries (CA), 8 superior mesenteric arteries (SMA) and 1 inferior messenteric artery (IMA) in 11 patients. Most of patients with CMI were older than 55 years. The ages of the patients ranged from 56 to 85 years (mean 70.5). The gender distribution was: ten male (90.9%) and one female (9.0%). Abdominal angor was the most frequent symptom in our data (90.9%) followed by weight loss (27.2%). Others unespecific symptoms like rectorraghia (18.2%) and...

The endovascular treatment with stent placement has been recognized as a minimally invasive means of obtaining good mid-term results with an acceptable recurrence rate and consequently has been suggested for primary treatment of CMI.

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