Clinical Course of Mesenteric Artery Stenosis in Elderly Americans

Wilson, David B.; Mostafavi, Kian; Craven, Timothy E.; Ayerdi, Juan; Edwards, Matthew S.; Hansen, Kimberley J.

doi:10.1001/archinte.166.19.2095

Cited by 119 publications

(66 citation statements)

References 25 publications

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“…A minority of patients with CSD will develop CSS or acute splanchnic syndrome (ASS). A follow-up of the study in elderly subjects in whom duplex had shown CSD, revealed no CSD-related mortality after 6 years of follow-up [13] . This risk is increased in subjects with 2 and 3 vessel CSD.…”

Section: Epidemiologymentioning

confidence: 85%

Diagnosis and management of splanchnic ischemia

Kolkman¹,

Bargeman²,

Huisman³

et al. 2008

WJG

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Section: Epidemiologymentioning

confidence: 85%

Diagnosis and management of splanchnic ischemia

Kolkman¹,

Bargeman²,

Huisman³

et al. 2008

WJG

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“…The index case was initially asymptomatic despite 100% occlusion of the SMA, because of good retrograde filling via the arch of Riolan, which received collaterals from the IMA. There is no randomized trial or clinical guideline for revascularization in such a situation, when there is asymptomatic twovessel involvement [21,25] . With progression of osteal stenosis of the IMA from 50% at baseline to 90% at 15-mo follow-up, the patient became symptomatic with classical postprandial abdominal pain of mesenteric ischemia, for which he underwent successful endovascular mesenteric revascularization.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous panvascular intervention in an unusual case of extensive atherosclerotic disease

Vijayvergiya

Garg²,

Sinha³

2012

WJC

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It is common to see patients with atherosclerotic coro� nary disease and peripheral arterial disease in routine clinical practice�� One needs to have a comprehensive and integrated multi�speciality approach and panvas� cular revascularization in such patients�� We report a 54�year�old diabetic hypertensive male with extensive atherosclerotic coronary and peripheral arterial dis� ease, who presented with congestive heart failure, claudication of both lower limbs and mesenteric isch� emia�� He underwent successful percutaneous panvas� cular revascularization of coronary, renal, mesenteric, aorto-iliac and superficial femoral arteries. Long-term patency of all the stents was also documented��

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“…The prognosis is relatively benign in those with single-vessel disease. In participants of the Cardiovascular Health Study who were found to have isolated coeliac trunk or mesenteric artery disease on duplex ultrasound, there was no increased risk of mortality, intestinal infarction or development of symptoms consistent with CMI over a median follow up period of 6.5years (Wilson et al, 2006). The gold standard of treatment has traditionally been surgical revascularisation in the form of bypass, endarterectomy or embolectomy.…”

Section: Treatment Optionsmentioning

confidence: 99%