Keywords:
Ischaemia / Infarction, Stents, CT-Angiography, Catheter arteriography, Interventional vascular, Abdomen
Authors:
A. Rojas Jiménez, S. Cea Pereira, C. Neches, L. Domínguez-Viguera, A. Fabbricatore, M. Casal Rivas; Vigo/ES
DOI:
10.1594/ecr2013/C-2212
Purpose
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 been suggested for primary treatment of CMI.
We illustrate the imaging findings of chronic mesenteric ischemia and discuss the immediate and midterm clinical outcomes after percutaneous stent placement supported on eleven patients treated in ours interventional radiology department.