Endovascular Management of Chronic Mesenteric Ischemia

Abstract

The purpose of this study was to review the effectiveness and feasibility of endovascular intervention for chronic mesenteric ischemia and its effect on morbidity and mortality.Patients and methods: Between march 2014, and October 2016, 7 patients diagnosed with chronic mesenteric ischemia had endovascular treatment. Demographic, clinical, diagnostic and procedure-related data were recorded, and strict follow up was done for 24 month postoperative.Results: Data was obtained for 7 patients who underwent endovascular procedures during the study period. Superior mesenteric artery (SMA) was affected in all patients, inferior mesenteric in 3 patients (42.9%) and celiac artery was affected in 2 patients (28.6%)Technical success was achieved in 6 patients. SMA was the main target for revascularization. Technical success was achieved in 6 patients (85.7%). 24 month Primary assisted patency was 71.4%. There were no major complications, minor complications occurred in 2 patients (28.6%). Conclusion:Endovascular management of chronic mesenteric ischemia has comparable outcome to surgical solutions but with less morbidity and mortality. However strict follow up and timely secondary intervention is mandatory.