2014
DOI: 10.1177/1358863x14524852
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Assessment of recurrent mesenteric ischemia after stenting with a pressure wire

Abstract: Chronic mesenteric artery ischemia can be difficult to evaluate after stent placement. This case describes the use of a pressure wire to demonstrate the hemodynamic significance of in-stent restenosis. Papaverine was used to vasodilate the mesenteric bed, mimicking the post-prandial state. The study (arteriography with pressure wire) and retreatment (covered balloon-expandable stent) was driven by recurrent symptoms avoiding unnecessary ancillary testing.

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Cited by 3 publications
(5 citation statements)
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“…Using the above-described ELISA approaches, each polyclonal anti-sera sample diluted 1:250 in PBS and mAb as confluent supernatants diluted 1:3 in PBS were used as the primary antibody against peptide 1, peptide 2, or rRBD. An irrelevant mAb was used as an assay control [ 21 ]. After development, the optical density of each well was recorded at 405 nm to compare the reactivity of each mAb with each antigen.…”
Section: Methodsmentioning
confidence: 99%
“…Using the above-described ELISA approaches, each polyclonal anti-sera sample diluted 1:250 in PBS and mAb as confluent supernatants diluted 1:3 in PBS were used as the primary antibody against peptide 1, peptide 2, or rRBD. An irrelevant mAb was used as an assay control [ 21 ]. After development, the optical density of each well was recorded at 405 nm to compare the reactivity of each mAb with each antigen.…”
Section: Methodsmentioning
confidence: 99%
“…Using the above-described ELISA approaches, each polyclonal anti-sera sample diluted 1:250 in PBS and mAb as confluent supernatants diluted 1:3 in PBS were used as primary antibody against peptide 1, peptide 2, or rRBD. An irrelevant mAb was used as an assay control [21]. After development, the optical density of each well was recorded at 405 nm to compare the reactivity of each mAb with each antigen.…”
Section: Methodsmentioning
confidence: 99%
“…An irrelevant mAb was used as an assay control [21]. After development, the optical density of each well was recorded at 405 nm to compare the reactivity of each mAb with each antigen.…”
Section: Screening Mabs For Specificitymentioning
confidence: 99%
“…Intraluminal pressure measurements can be made across a stenosis at the time of arteriography if there is a question regarding the hemodynamic significance of the lesion. 77 It is worth emphasizing that the other less invasive imaging studies (ie, DUS examination, CTA, MRA) cannot provide any functional or hemodynamic data in terms of pressure gradients. Concerns have been raised about the impact of the catheter itself and its contribution to the gradient.…”
Section: Detailed Justificationmentioning
confidence: 99%
“…A catheter-based arteriogram with the measurement of intraluminal pressures may occasionally be helpful in equivocal cases to determine the hemodynamic significance of a recurrent stenosis. 77 The management of patients with a recurrent stenosis and recurrent symptoms consistent with CMI is similar to the management of a symptomatic de novo lesion. Patients should undergo a CTA to facilitate the intervention, if not already performed.…”
Section: Detailed Justificationmentioning
confidence: 99%