Estenosis de la arteria mesentérica superior como causa de isquemia intestinal crónica. Tratamiento con angioplastia e implante de stent

Chronic Intestinal Ischemia due to Multiple Severe Stenoses Treated by Endovascular Surgery in a High Risk Patient

“…Each of these treatments has important morbidity and mortality associated with advanced age, cardiovascular state and, to a lesser degree, failed revascularization. 2,5,6 It is still the treatment of choice for patients who are fit or whose physical condition can be improved before surgery.…”

“…Stent implantation should always be considered the first option after successful angioplasty. 2,3,[6][7][8][9] The technique is performed with local anesthesia and the patient can be discharged 24 h later, which reduces hospitalization times and increases patient comfort. 2,10 Nevertheless, even though the results are initially good, there is a greater percentage of restenosis and higher symptoms recurrence than in revascularization surgery.…”

“…[1][2][3][4] The diagnosis is based on symptoms and the angiographic examinations of the arterial lesions. The differential diagnosis includes gastroesophageal reflux disease, irritable bowel syndrome, peptic ulcer or gastritis, chronic pancreatitis, visceral cancer and vasculitis, such as polyarteritis nodosa.…”