Document Detail


Percutaneous transluminal angioplasty of visceral arterial stenoses: results and long-term clinical follow-up.
MedLine Citation:
PMID:  7787348     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To determine the efficacy and safety of percutaneous transluminal angioplasty (PTA) of the visceral arteries. PATIENTS AND METHODS: We retrospectively evaluated the results of PTA performed in 20 visceral arteries in 19 patients (10 men, nine women; mean age, 63 years). Eleven patients had symptoms characteristic of mesenteric ischemia, four had atypical abdominal pain, and four were undergoing prophylactic dilation before undergoing another procedure involving the abdominal aorta. Clinical follow-up was possible in all patients. RESULTS: PTA was technically successful in 15 of 19 patients (79%); among these 15 patients, 12 (80%) did well clinically. Of the seven PTA procedures that were immediate failures, five failed secondary to an occult malignancy or to extrinsic arterial compression by the median arcuate ligament. Ten (83%) of the 12 patients in whom the procedures were immediate clinical successes are still clinically improved at 4-73 months follow-up (mean, 25 months). PTA was successful in only one of the four patients who had symptoms atypical of mesenteric ischemia, but it was successful in 11 of the 15 patients who had symptoms of mesenteric ischemia or who underwent prophylactic dilation. Major complications occurred in three (16%) of the 19 patients. CONCLUSION: PTA of visceral artery stenoses is effective in patients with symptoms of mesenteric ischemia. It is also effective as prophylaxis in patients undergoing additional procedures in the abdominal aorta.
Authors:
A H Matsumoto; C J Tegtmeyer; E K Fitzcharles; J B Selby; C G Tribble; J F Angle; I L Kron
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  6     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:    1995 Mar-Apr
Date Detail:
Created Date:  1995-07-25     Completed Date:  1995-07-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  165-74     Citation Subset:  IM    
Affiliation:
Department of Radiology, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / therapy
Adult
Aged
Angioplasty, Balloon*
Aorta, Abdominal / pathology
Aortic Diseases / therapy
Celiac Artery / pathology
Constriction, Pathologic / etiology,  therapy
Dilatation
Female
Follow-Up Studies
Humans
Ischemia / etiology,  therapy
Ligaments / pathology
Male
Mesenteric Arteries / pathology
Mesenteric Vascular Occlusion / etiology,  therapy*
Middle Aged
Neoplasms, Unknown Primary / complications
Pancreatic Neoplasms / complications,  secondary
Retrospective Studies
Treatment Failure
Treatment Outcome

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


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