Long-Term Results of Endovascular Treatment of Atherosclerotic Stenoses or Occlusions of the Coeliac and Superior Mesenteric Artery in Patients With Mesenteric Ischaemia

Tomas Bulut, R. Oosterhof-Berktas, R. H. Geelkerken, M. Brusse-Keizer, E. J. Stassen, J. Kolkman

    Research output: Contribution to journalArticleAcademicpeer-review

    13 Citations (Scopus)
    167 Downloads (Pure)

    Abstract

    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/or CT angiography. A stenosis ≥70% was considered to be a failure. Results Eighty-six coeliac arteries (CA) and 99 superior mesenteric arteries (SMA) were treated with PMAS in 141 patients. Nine CAs (10%) and 30 SMAs (30%) were occluded at the time of treatment. Median follow-up was 32 months (IQR 20–46). The overall primary patency rate at 12 and 60 months was 77.0% and 45.0%. The overall primary assisted patency rate was 90.3% and 69.8%. Overall secondary patency was 98.3% and 93.6%. Conclusion This study shows excellent long-term secondary patencies after PMAS, comparable with published data on long-term patencies after open surgical revascularisation.

    Original languageEnglish
    Pages (from-to)583-590
    Number of pages8
    JournalEuropean journal of vascular and endovascular surgery
    Volume53
    Issue number4
    DOIs
    Publication statusPublished - 1 Apr 2017

    Keywords

    • Coeliac artery
    • Endovascular procedures
    • Mesenteric ischaemia
    • Superior mesenteric artery
    • Vascular patency

    Fingerprint Dive into the research topics of 'Long-Term Results of Endovascular Treatment of Atherosclerotic Stenoses or Occlusions of the Coeliac and Superior Mesenteric Artery in Patients With Mesenteric Ischaemia'. Together they form a unique fingerprint.

    Cite this