#1Sara L. Zettervall(BIDMC: Beth Israel Deaconess Medical Center)H-Index: 19
#2Ruby C. Lo(BIDMC: Beth Israel Deaconess Medical Center)H-Index: 15
Last. Marc L. Schermerhorn(BIDMC: Beth Israel Deaconess Medical Center)H-Index: 61
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Background It is unknown whether increased endovascular treatment of chronic mesenteric ischemia has led to decreases in open surgery, acute mesenteric ischemia, or overall mortality. The present study evaluates the trends in endovascular and open treatment over time for chronic and acute mesenteric ischemia. Methods We identified patients with chronic or acute mesenteric ischemia in the Nationwide Inpatient Sample and Center for Disease Control and Prevention database from 2000 to 2012. Trends ...
Introduction Over the past decade, primary percutaneous mesenteric artery stenting (PMAS) has become an alternative to open revascularisation for treatment of mesenteric ischaemia. Institutes have presented favourable short-term outcomes after PMAS, but there is a lack of data on long-term stent patency. Methods One hundred and forty-one patients treated by PMAS for acute and chronic mesenteric ischaemia over an 8 year period were studied. Anatomical success was assessed by duplex ultrasound and...
BACKGROUND: Studies that compared open surgical mesenteric artery repair (OSMAR) with percutaneous mesenteric artery stenting (PMAS) in patients with chronic mesenteric ischemia (CMI) are based on merely older studies in which only a minority of patients received PMAS. This does not reflect the current PMAS-first choice treatment paradigm. This article focused on the present opinions and changes in outcomes of OSMAR for CMI in the era of preferred use of PMAS. METHODS: Patients who received OSMA...
#1Michael C. Soult(EVMS: Eastern Virginia Medical School)H-Index: 9
#2Joseph C. Wuamett(EVMS: Eastern Virginia Medical School)H-Index: 2
Last. Jean M. Panneton(EVMS: Eastern Virginia Medical School)H-Index: 49
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Abstract Objective Duplex ultrasound (DUS) criteria are well defined for evaluating high-grade stenosis (≥70%) of the native superior mesenteric artery (SMA) and celiac artery (CA). It has been shown that native vessel criteria overestimate the degree of in-stent restenosis (ISR) and that velocity criteria for SMA and CA ISR are not well established. The objective of this study was to define DUS velocity criteria for high-grade ISR of the SMA and CA. Methods A retrospective review of all patient...
Background Recently, distal pancreatectomy with en bloc celiac axis resection (DP-CAR) or modified Appleby procedure for locally advanced pancreatic body cancer is increasingly reported. However, actual long-term survival data are still unknown.
#1Melanie K. Rose(UAB: University of Alabama at Birmingham)H-Index: 1
#2Benjamin J. Pearce(UAB: University of Alabama at Birmingham)H-Index: 12
Last. William D. Jordan(UAB: University of Alabama at Birmingham)H-Index: 30
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Objective Coverage of celiac artery (CA) during thoracic endovascular aortic aneurysm repair (TEVAR) has been performed to extend the distal seal zone for which preliminary results and short-term follow-up have been reported. We aim to show the outcomes up to 81 months after CA coverage during TEVAR. Methods Patients undergoing TEVAR with coverage of the CA origin from 2005 to 2013 were retrospectively analyzed. Points of analysis include indications for covering the CA, demonstration of collate...
#1Wenwu Cai(CSU: Central South University)H-Index: 2
#2Xin Li(CSU: Central South University)H-Index: 13
Last. Dingxiao Liu(CSU: Central South University)H-Index: 2
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Background The purpose of this study is to compare the clinical outcomes of endovascular versus open revascularization for chronic mesenteric ischemia (CMI). Methods Published studies that investigated endovascular versus open revascularization for CMI were identified, and meta-analysis was used for statistical analysis. Results Eight studies were analyzed by meta-analysis method, cumulative 569 cases were included. Endovascular treatments were performed in 209 cases, and open repairs were perfo...
#1Jian-jie Rong(Soochow University (Suzhou))H-Index: 7
#2Aimin Qian(Soochow University (Suzhou))H-Index: 10
Last. Xiao-Qiang Li(Soochow University (Suzhou))H-Index: 13
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Purpose Spontaneous isolated dissection of the superior mesenteric artery (SIDSMA) is a rare but fatal condition. Herein, we report the therapeutic outcome of a contemporary series of 12 patients with SIDSMA who were treated with conservative, anticoagulation, or endovascular therapy.
#1C. Grilli(Christiana Care Health System)H-Index: 4
#2C Fedele(Christiana Care Health System)H-Index: 2
Last. D. Leung(Christiana Care Health System)H-Index: 5
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Abstract Purpose To evaluate the safety and outcomes of endovascular recanalization of chronic total occlusions (CTOs) of the superior mesenteric artery (SMA) in patients with chronic mesenteric ischemia (CMI). Materials and Methods A single-institution retrospective review was performed of 47 consecutive patients (18 male, 29 female) who underwent endovascular stent placement for CTOs of the SMA between February 2006 and November 2012. All patients had symptoms of CMI. Procedural and follow-up ...
Last. Xicheng Zhang(YZU: Yangzhou University)H-Index: 3
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ObjectivesTo present our experience regarding endovascular stent placement for the treatment of spontaneous isolated superior mesenteric artery dissection (SISMAD) and to evaluate the safety and feasibility of the endovascular therapy.MethodsThe clinical data from six patients with SISMAD who underwent endovascular stent placement in two institutions from March 2010 to May 2012 were analyzed retrospectively. Four patients were implanted a self-expanding stent, and an additional stent was deploye...
Last. Geert Maleux(Katholieke Universiteit Leuven)H-Index: 35
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Background: To analyse the long-term outcomes of percutaneous angioplasty and stenting of the superior mesenteric artery (SMA) in the treatment of chronic mesenteric ischemia (CMI), and to assess predictive factors for a better clinical outcome. Patients and methods: Retrospective analysis of 76 consecutive patients, treated percutaneously for CMI between January 1999 and January 2018 and followed up until the end of 2018. Patients' pre-, peri- and post-interventional clinical and radiological d...
Background Mesenteric ischemia is associated with poor outcome and high overall mortality. The aim was to analyze an interdisciplinary treatment approach of vascular and visceral specialists focusing on the in-hospital outcome and follow-up in patients with acute and acute-on-chronic mesenteric ischemia. Methods From 2010 until 2017, 26 consecutive patients with acute or acute on chronic mesenteric ischemia were treated by an interdisciplinary team. Data were prospectively collected and retrospe...
Last. Oliver Wieben(UW: University of Wisconsin-Madison)H-Index: 36
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PURPOSE Chronic mesenteric ischemia (CMI) is a rare disease with a particularly difficult diagnosis. In this study, 4D flow MRI is used to quantitatively evaluate mesenteric hemodynamics before and after a meal in patients suspected of having CMI and healthy individuals. METHODS Nineteen patients suspected of CMI and twenty control subjects were analyzed. Subjects were scanned using a radially undersampled 4D flow MR sequence (PC-VIPR). Flow rates were assessed in the supraceliac (SCAo) and infr...
Abstract Background Chronic mesenteric ischemia results from the inability to achieve adequate postprandial intestinal blood flow, usually from atherosclerotic occlusive disease at the origins of the mesenteric vessels. Patients typically present with postprandial pain, food fear and weight loss although they can present with acute mesenteric ischemia and bowel infarction. The diagnosis requires the combination of the appropriate clinical symptoms and significant mesenteric artery occlusive dise...
Last. Pengyuan Sun(Dalian Medical University)H-Index: 19
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The aim of this study was to characterize and reveal the protective effects of cinnamaldehyde (CA) against mesenteric ischemia-reperfusion- (I/R-) induced lung and liver injuries and the related mechanisms. Sprague-Dawley (SPD) rats were pretreated for three days with 10 or 40 mg/kg/d, ig of CA, and then induced with mesenteric ischemia for 1 h and reperfusion for 2 h. The results indicated that pretreatment with 10 or 40 mg/kg of CA attenuated morphological damage in both lung and liver tissues...
#1Luke G. Terlouw(EUR: Erasmus University Rotterdam)H-Index: 2
#2Adriaan Moelker(EUR: Erasmus University Rotterdam)H-Index: 27
Last. Marco J. Bruno(EUR: Erasmus University Rotterdam)H-Index: 67
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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 ...
PURPOSE OF REVIEW: Mesenteric ischemia (MI), both acute (AMI) and chronic (CMI), is a challenging diagnosis to make, and early diagnosis and treatment are vital to improve outcomes. This manuscript summarizes the most up to date information on diagnosis and treatment of these disorders. RECENT FINDINGS: There have been several significant advancements in the computed tomography (CT) diagnostic imaging as well as medical and endovascular management of AMI and CMI. In appropriate populations, endo...
#2Luke G. Terlouw(EUR: Erasmus University Rotterdam)H-Index: 2
Last. Adriaan Moelker(EUR: Erasmus University Rotterdam)H-Index: 27
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Abstract Purpose To assess the ability of pressure measurements to discriminate clinically significant celiac artery (CA) or superior mesenteric artery (SMA) stenosis in patients with suspected chronic mesenteric ischemia (CMI). Materials and Methods Single-center, retrospective cohort study of 41 intra-arterial pressure measurements during mesenteric angiography with intended revascularization, performed in 37 patients (mean age 67.7 ± 10.8 years, 62% female) between April 2015 and May 2017. Si...
