Intravascular stent implantation of the celiac artery in the treatment of chronic mesenteric ischemia

被引:12
作者
Gotsman, I
Verstandig, A
机构
[1] Hebrew Univ Jerusalem, Div Med, Hadassah Univ Hosp, Hadassah Med Sch, IL-91120 Jerusalem, Israel
[2] Hebrew Univ Jerusalem, Dept Radiol, Hadassah Univ Hosp, Hadassah Med Sch, IL-91120 Jerusalem, Israel
关键词
intravascular stents; celiac artery; chronic mesenteric ischemia;
D O I
10.1097/00004836-200102000-00016
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We report a case of chronic mesenteric ischemia that caused abdominal angina and weight loss in an 80-year-old woman. A mesenteric angiogram revealed total occlusion of the superior mesenteric artery and 90% stenosis of the celiac and inferior mesenteric arteries. Balloon angioplasty of the celiac artery failed because of elastic recoil. A 15-mm Palmaz-Schatz stent was dilated to 6 mm in the proximal celiac artery with an excellent angiographic result and complete resolution of symptoms. A clinical, I-year follow-up demonstrated success with no recurrence of pain. This case report illustrates the value of balloon dilatation and stent implantation in a patient with atherosclerotic narrowing of multiple abdominal visceral arteries.
引用
收藏
页码:164 / 166
页数:3
相关论文
共 23 条
[1]  
Busquet J, 1997, J ENDOVASC SURG, V4, P380, DOI 10.1583/1074-6218(1997)004<0380:ISITSM>2.0.CO
[2]  
2
[3]  
Finch I J, 1992, J Vasc Interv Radiol, V3, P633, DOI 10.1016/S1051-0443(92)72909-1
[4]   A RANDOMIZED COMPARISON OF CORONARY-STENT PLACEMENT AND BALLOON ANGIOPLASTY IN THE TREATMENT OF CORONARY-ARTERY DISEASE [J].
FISCHMAN, DL ;
LEON, MB ;
BAIM, DS ;
SCHATZ, RA ;
SAVAGE, MP ;
PENN, I ;
DETRE, K ;
VELTRI, L ;
RICCI, D ;
NOBUYOSHI, M ;
CLEMAN, M ;
HEUSER, R ;
ALMOND, D ;
TEIRSTEIN, PS ;
FISH, RD ;
COLOMBO, A ;
BRINKER, J ;
MOSES, J ;
SHAKNOVICH, A ;
HIRSHFELD, J ;
BAILEY, S ;
ELLIS, S ;
RAKE, R ;
GOLDBERG, S .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (08) :496-501
[5]   PERCUTANEOUS TRANS-LUMINAL ANGIOPLASTY IN THE TREATMENT OF ABDOMINAL ANGINA [J].
GOLDEN, DA ;
RING, EJ ;
MCLEAN, GK ;
FREIMAN, DB .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1982, 139 (02) :247-249
[6]   Intracoronary stent implantation without ultrasound guidance and with replacement of conventional anticoagulation by antiplatelet therapy - 30-day clinical outcome of the French Multicenter Registry [J].
Karrillon, GJ ;
Morice, MC ;
Benveniste, E ;
Bunouf, P ;
Aubry, P ;
Cattan, S ;
Chevalier, B ;
Commeau, P ;
Cribier, A ;
Eiferman, C ;
Grollier, G ;
Guerin, Y ;
Henry, M ;
Lefevre, T ;
Livarek, B ;
Louvard, Y ;
Marco, J ;
Makowski, S ;
Monassier, JP ;
Pernes, JM ;
Rioux, P ;
Spaulding, C ;
Zemour, G .
CIRCULATION, 1996, 94 (07) :1519-1527
[7]  
LEVY PJ, 1987, EUR J RADIOL, V7, P239
[8]   Superior mesenteric artery occlusion treated with PTA and stent placement [J].
Lindblad, B ;
Lindh, M ;
Chuter, T ;
Ivancev, K .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 1996, 11 (04) :493-495
[9]   Percutaneous recanalization and stent placement in chronic proximal superior mesenteric artery occlusion [J].
Maleux, G ;
Wilms, G ;
Stockx, L ;
Vancleemput, J ;
Baert, AL .
EUROPEAN RADIOLOGY, 1997, 7 (08) :1228-1230
[10]  
Moawad J, 1997, ARCH SURG-CHICAGO, V132, P613