Document Detail


Pressure wire used to measure gradient in chronic mesenteric ischemia.
MedLine Citation:
PMID:  23109783     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Chronic mesenteric ischemia is a rare disorder in the United States. Frequently, its symptoms correlate poorly with the angiographically apparent degree of mesenteric artery stenosis. Measuring the pressure gradient with a small-caliber catheter is an established means of determining whether a particular stenosis is flow-limiting, thus guiding the interventional decision when stenoses are of indeterminate angiographic significance. Using a 0.014-in guidewire, however, is potentially more accurate because it eliminates any measurement error attributable to the use of a larger, potentially obstructive catheter. We present a case of chronic mesenteric ischemia in a 70-year-old woman who had abdominal pain with multiple possible causes. We used a 0.014-in pressure wire to calculate pressure gradients and guide our decision to stent tandem lesions in the superior mesenteric artery. After revascularization, the patient's symptoms improved dramatically. To the best of our knowledge, this is the first published case in which a pressure wire was used to measure a pressure gradient in chronic mesenteric ischemia.
Authors:
Bashar Hannawi; Wilson W Lam; George Antoine Younis
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  39     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2012  
Date Detail:
Created Date:  2012-10-30     Completed Date:  2013-04-10     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  739-43     Citation Subset:  IM    
Affiliation:
Division of Adult Cardiology, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Balloon / instrumentation
Arterial Pressure*
Blood Pressure Determination / methods*
Constriction, Pathologic
Equipment Design
Female
Humans
Ischemia / diagnosis*,  physiopathology,  therapy
Mesenteric Artery, Superior / physiopathology,  radiography
Mesenteric Vascular Occlusion / diagnosis*,  physiopathology,  therapy
Predictive Value of Tests
Stents
Transducers, Pressure*
Treatment Outcome
Vascular Access Devices*
Vascular Diseases / diagnosis*,  physiopathology,  therapy
Comments/Corrections

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