| Chronic mesenteric ischemia: diagnosis and management. | |
MedLine Citation:
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PMID: 21722785 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Chronic mesenteric ischemia (CMI) is the most common vascular disorder involving the intestines, however it is unusual in clinical practice. The redundancy of the visceral circulation with multiple interconnections between the superior mesenteric artery (SMA) and the inferior mesenteric artery (IMA) is the most likely explanation for the infrequent occurrence of CMI in clinical practice. Atherosclerosis is by the far the most common etiology of CMI. The increased utilization of diagnostic abdominal cross-sectional imaging has increased the recognition of atherosclerotic mesenteric stenoses. CMI is a clinical diagnosis, based upon symptoms and consistent anatomic findings. The classic setting for CMI is a female patient presenting with post-prandial abdominal discomfort that results in significant weight loss. Endovascular therapy with stenting has become the most common method chosen for revascularization having replaced open surgery with its associated morbidity and mortality. |
Authors:
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Christopher J White |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Progress in cardiovascular diseases Volume: 54 ISSN: 1873-1740 ISO Abbreviation: Prog Cardiovasc Dis Publication Date: 2011 Jul-Aug |
Date Detail:
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Created Date: 2011-07-04 Completed Date: 2011-09-06 Revised Date: 2013-05-02 |
Medline Journal Info:
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Nlm Unique ID: 0376442 Medline TA: Prog Cardiovasc Dis Country: United States |
Other Details:
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Languages: eng Pagination: 36-40 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Cardiovascular Diseases, The John Ochsner Heart & Vascular Institute, Ochsner Clinic Foundation, New Orleans, LA 70121, USA. cwhite@ochsner.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diagnostic Imaging
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methods Endovascular Procedures / adverse effects, instrumentation, mortality Humans Ischemia / diagnosis, mortality, therapy Mesenteric Vascular Occlusion / diagnosis*, mortality, therapy* Patient Selection Practice Guidelines as Topic Predictive Value of Tests Risk Assessment Risk Factors Stents Treatment Outcome Vascular Diseases / diagnosis, mortality, therapy Vascular Surgical Procedures* / adverse effects, mortality |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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