Document Detail

Chronic mesenteric ischemia: imaging and percutaneous treatment.
MedLine Citation:
PMID:  12110715     Owner:  NLM     Status:  MEDLINE    
Chronic mesenteric ischemia (CMI) is rare and is often diagnosed late. Fatal malabsorption-related complications or acute ischemic events occur in the absence of treatment. Diagnosis depends on careful acquisition of a medical history and elimination of other conditions. No sensitive and specific tests are available for functional diagnosis of CMI. If other causes of abdominal pain and weight loss have been confidently ruled out, evidence of visceral artery occlusion at noninvasive imaging (Doppler ultrasonography, computed tomographic angiography, and magnetic resonance angiography) suggests CMI. Until the 1990s, open surgery was considered the treatment of choice; percutaneous transluminal angioplasty (PTA) was reserved for patients for whom surgery carried a high risk. However, open surgery carries a nonnegligible risk of morbidity and mortality. In recent years, PTA with stent placement has been recognized as a minimally invasive means of obtaining good long-term results with an acceptable recurrence rate and consequently has been suggested for primary treatment of CMI. New treatments including administration of fibrinolytic agents before PTA of chronic occlusions, routine revascularization of one or more arteries, and stent placement will probably be validated in the near future. Similarly, new data on selection of the best approach will become available soon.
François Cognet; Douraied Ben Salem; Marie Dranssart; Jean-Pierre Cercueil; Michel Weiller; Etienne Tatou; Louis Boyer; Denis Krausé
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiographics : a review publication of the Radiological Society of North America, Inc     Volume:  22     ISSN:  0271-5333     ISO Abbreviation:  Radiographics     Publication Date:    2002 Jul-Aug
Date Detail:
Created Date:  2002-07-11     Completed Date:  2002-11-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8302501     Medline TA:  Radiographics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  863-79; discussion 879-80     Citation Subset:  IM    
Copyright Information:
Copyright RSNA, 2002
Department of Radiology and Imaging, Dijon University Hospital, France.
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MeSH Terms
Aged, 80 and over
Angioplasty, Balloon / methods*
Chronic Disease
Diagnosis, Differential
Diagnostic Imaging
Ischemia / diagnosis*,  therapy*
Mesentery / blood supply*
Middle Aged
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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