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ludc webb

Nuno Dias

Adjunct professor

ludc webb

Mid-term outcome of endovascular revascularization for chronic mesenteric ischaemia.

Author

  • Nuno Dias
  • Stefan Acosta
  • Tim Resch
  • Björn Sonesson
  • Alaa Alhadad
  • Martin Malina
  • Krassi Ivancev

Summary, in English

BACKGROUND:: This study aimed to assess mid-term outcome after endovascular revascularization of chronic occlusive mesenteric ischaemia (CMI) and to identify possible predictors of mortality. METHODS:: Consecutive patients undergoing primary elective stenting for CMI between 1995 and 2007 were registered prospectively in a database. Patients with acute ischaemia were excluded. Retrospective case-note review and data analysis were performed. RESULTS:: Forty-three patients (10 men) were treated for stable (n = 30) or exacerbated (n = 13) CMI. Their median (interquartile range (i.q.r.)) age was 70 (60-79) years. Revascularization was successful in 47 of 49 vessels. The superior mesenteric artery (SMA), either alone (n = 34) or in combination with the coeliac trunk (n = 6), was the predominant target vessel. No patient died within 30 days. Median follow-up was 43 (i.q.r. 25-63) months and the estimated (s.e.) 3-year overall survival rate was 76(7) per cent. Two patients died from distal SMA occlusive disease and intestinal infarction after 6 and 18 months respectively. Previous stroke (P = 0.016), male sex (P = 0.057) and age (P = 0.066) were associated with mid-term mortality on univariable, but not multivariable analysis. Reintervention was needed in 14 patients, achieving a 3-year cumulative rate of freedom from recurrent symptoms of 88(5) per cent. CONCLUSION:: Endovascular treatment provided high early and mid-term survival rates in this series of patients with CMI, with low complication rates. Copyright (c) 2009 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.

Department/s

  • Vascular Diseases - Clinical Research
  • Radiology Diagnostics, Malmö

Publishing year

2010

Language

English

Pages

195-201

Publication/Series

British Journal of Surgery

Volume

97

Document type

Journal article

Publisher

Oxford University Press

Topic

  • Surgery

Status

Published

Research group

  • Vascular Diseases - Clinical Research
  • Radiology Diagnostics, Malmö

ISBN/ISSN/Other

  • ISSN: 1365-2168