TY - JOUR
T1 - Long-Term Results of Endovascular Treatment of Atherosclerotic Stenoses or Occlusions of the Coeliac and Superior Mesenteric Artery in Patients With Mesenteric Ischaemia
AU - Bulut, Tomas
AU - Oosterhof-Berktas, R.
AU - Geelkerken, R. H.
AU - Brusse-Keizer, M.
AU - Stassen, E. J.
AU - Kolkman, J.
PY - 2017/4/1
Y1 - 2017/4/1
N2 - 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.
AB - 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.
KW - Coeliac artery
KW - Endovascular procedures
KW - Mesenteric ischaemia
KW - Superior mesenteric artery
KW - Vascular patency
UR - http://www.scopus.com/inward/record.url?scp=85013042283&partnerID=8YFLogxK
U2 - 10.1016/j.ejvs.2016.12.036
DO - 10.1016/j.ejvs.2016.12.036
M3 - Article
C2 - 28254161
AN - SCOPUS:85013042283
SN - 1078-5884
VL - 53
SP - 583
EP - 590
JO - European journal of vascular and endovascular surgery
JF - European journal of vascular and endovascular surgery
IS - 4
ER -