Document Detail


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
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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
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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


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