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

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    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

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