Anatomic and radiologic review of chronic mesenteric ischemia and its treatment

Jaster, Adam W.; Choudhery, Sadia; Ahn, Richard W.; Sutphin, Patrick D.; Kalva, Sanjeeva P.; Anderson, Matthew E.; Pillai, Anil K.

doi:10.1016/j.clinimag.2016.04.003

Cited by 14 publications

(4 citation statements)

References 61 publications

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“…The CA and SMA are connected by the pancreato‐duodenal arcade. The superior part of this arcade is formed by the gastroduodenal artery – originating from the common hepatic branch of the CA – and divides in an anterior and posterior superior pancreatoduodenal artery 11 . The connecting anterior and posterior branches of the inferior pancreatoduodenal artery originate from the SMA.…”

Section: Results Of the Systematic Literature Review And Modified Delmentioning

confidence: 99%

European guidelines on chronic mesenteric ischaemia – joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric

et al. 2020

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Chronic mesenteric ischaemia is a severe and incapacitating disease, causing complaints of post-prandial pain, fear of eating and weight loss. Even though chronic mesenteric ischaemia may progress to acute mesenteric ischaemia, chronic mesenteric ischaemia remains an underappreciated and undertreated disease entity. Probable explanations are the lack of knowledge and awareness among physicians and the lack of a gold standard diagnostic test. The underappreciation of this disease results in diagnostic delays, underdiagnosis and undertreating of patients with chronic mesenteric ischaemia, potentially resulting in fatal acute mesenteric ischaemia. This guideline provides a comprehensive overview and repository of the current evidence and multidisciplinary expert agreement on pertinent issues regarding diagnosis and treatment, and provides guidance in the multidisciplinary field of chronic mesenteric ischaemia.

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Section: Results Of the Systematic Literature Review And Modified Delmentioning

confidence: 99%

European guidelines on chronic mesenteric ischaemia – joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric

et al. 2020

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“…1 Lately, the utility of this NC-MRA sequence was also considered in the evaluation of patients with suspected chronic mesenteric ischaemia. 19 However, to our knowledge, there have been no studies in which the value of NC-MRA has been demonstrated in the assessment of diseases that affect these vascular segments. Therefore, the purpose of this study was to establish the accuracy of NC-MRA with a bSSFP sequence for detecting stenosis in the CTR and SMA, adopting CTA as the reference method.…”

Section: Introductionmentioning

confidence: 98%

Non-contrast MR angiography using three-dimensional balanced steady-state free-precession imaging for evaluation of stenosis in the celiac trunk and superior mesenteric artery: a preliminary comparative study with computed tomography angiography

Cardia

Penachim

Prando

et al. 2017

The British Journal of Radiology

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“…The aetiology of chronic mesenteric ischaemia is typically multifactorial, with atherosclerotic disease being the most common cause 6 7. While this patient did not have significant evidence of atherosclerotic disease on cross-sectional imaging, chronic mesenteric ischaemia can also be caused by arterial dissection/aneurysm, vasculitis, fibromuscular dysplasia, segmental arterial mediolysis and radiation 8–10.…”

Section: Differential Diagnosismentioning

confidence: 78%

Endovascular treatment of chronic mesenteric ischaemia secondary to a superior mesenteric artery pseudoaneurysm: a modified neurointerventional technique

Buchholz,

Goins,

Martin

2023

BMJ Case Rep

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A man in his late 60s presented with intermittent abdominal pain, nausea, vomiting and approximately 40 pounds of weight loss over the course of a year, most concerning for chronic mesenteric ischaemia. Given a prior negative workup, a CT angiogram was performed and revealed a wide neck mid-superior mesenteric artery pseudoaneurysm (PSA). As PSAs are susceptible to thrombus formation and distal emboli, this incidental finding was considered a possible explanation for his intermittent symptoms and thus required treatment. Anatomical constraints precluded traditional coiling or covered stent placement, so the interventional radiology team used a neurointerventional technique and performed a successful balloon-assisted coil embolisation of the PSA with subsequent resolution of the patient’s symptoms. More than 3 years postprocedure, the patient remains asymptomatic with no complications.

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Anatomic and radiologic review of chronic mesenteric ischemia and its treatment

Cited by 14 publications

References 61 publications

Non-contrast MR angiography using three-dimensional balanced steady-state free-precession imaging for evaluation of stenosis in the celiac trunk and superior mesenteric artery: a preliminary comparative study with computed tomography angiography

Endovascular treatment of chronic mesenteric ischaemia secondary to a superior mesenteric artery pseudoaneurysm: a modified neurointerventional technique

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