| Mid-term outcome of endovascular revascularization for chronic mesenteric ischaemia. | |
| | |
MedLine Citation:
|
PMID: 20035543 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND:: This study aimed to assess mid-term outcome after endovascular revascularization of chronic occlusive mesenteric ischaemia (CMI) and to identify possible predictors of mortality. METHODS:: Consecutive patients undergoing primary elective stenting for CMI between 1995 and 2007 were registered prospectively in a database. Patients with acute ischaemia were excluded. Retrospective case-note review and data analysis were performed. RESULTS:: Forty-three patients (10 men) were treated for stable (n = 30) or exacerbated (n = 13) CMI. Their median (interquartile range (i.q.r.)) age was 70 (60-79) years. Revascularization was successful in 47 of 49 vessels. The superior mesenteric artery (SMA), either alone (n = 34) or in combination with the coeliac trunk (n = 6), was the predominant target vessel. No patient died within 30 days. Median follow-up was 43 (i.q.r. 25-63) months and the estimated (s.e.) 3-year overall survival rate was 76(7) per cent. Two patients died from distal SMA occlusive disease and intestinal infarction after 6 and 18 months respectively. Previous stroke (P = 0.016), male sex (P = 0.057) and age (P = 0.066) were associated with mid-term mortality on univariable, but not multivariable analysis. Reintervention was needed in 14 patients, achieving a 3-year cumulative rate of freedom from recurrent symptoms of 88(5) per cent. CONCLUSION:: Endovascular treatment provided high early and mid-term survival rates in this series of patients with CMI, with low complication rates. |
| | |
Authors:
|
N V Dias; S Acosta; T Resch; B Sonesson; A Alhadad; M Malina; K Ivancev |
Related Documents
:
|
737423 - Cancer of the rectum following colectomy and ileorectal anastomosis for ulcerative coli... 6598553 - Reinfection with intestinal helminths after treatment with mebendazole and fluctuations... 3190133 - Partial amputations of the foot for diabetic gangrene. |
Publication Detail:
|
Type: Evaluation Studies; Journal Article |
Journal Detail:
|
Title: The British journal of surgery Volume: 97 ISSN: 1365-2168 ISO Abbreviation: Br J Surg Publication Date: 2010 Feb |
Date Detail:
|
Created Date: 2010-01-25 Completed Date: 2010-02-18 Revised Date: 2010-06-25 |
Medline Journal Info:
|
Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: England |
Other Details:
|
Languages: eng Pagination: 195-201 Citation Subset: AIM; IM |
Copyright Information:
|
Copyright (c) 2009 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. |
Affiliation:
|
Vascular Centre Malm?-Lund, Malm? University Hospital, Malm?, Sweden. nuno.dias@med.lu.se |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation / methods* Chronic Disease Endarterectomy / methods* Female Humans Ischemia / mortality, surgery* Male Mesenteric Vascular Occlusion / mortality, surgery* Mesentery / blood supply* Middle Aged Postoperative Complications / etiology*, mortality Stents* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Comparison of magnetic resonance imaging-fluorodeoxy- glucose positron emission tomography fusion wi...
Next Document: Cost-utility and value-of-information analysis of early versus delayed laparoscopic cholecystectomy ...