Atherosclerotic inferior mesenteric artery stenosis resulting in large intestinal hypoperfusion: A paradigm shift in the diagnosis and management of symptomatic chronic mesenteric ischemia

2012 ◽  
Vol 80 (5) ◽  
pp. 877-882 ◽  
Author(s):  
Kapildeo Lotun ◽  
Ranjith Shetty ◽  
On Topaz
Keyword(s):  
Paradigm Shift ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Mesenteric Ischemia ◽  
Artery Stenosis ◽  
Chronic Mesenteric Ischemia ◽  
Diagnosis And Management ◽  
Intestinal Hypoperfusion ◽  
Mesenteric Artery Stenosis

Sustained Symptom Relief after Revascularization of Single Mesenteric Artery Stenosis in Patients with Chronic Mesenteric Ischemia

2017 ◽  
Vol 152 (5) ◽  
pp. S422
Author(s):  
Louisa J. van Dijk ◽  
L.M.G. Moons ◽  
Desirée van Noord ◽  
Adriaan Moelker ◽  
Hence J. Verhagen ◽  
...  
Keyword(s):  
Mesenteric Artery ◽  
Mesenteric Ischemia ◽  
Symptom Relief ◽  
Artery Stenosis ◽  
Chronic Mesenteric Ischemia ◽  
Mesenteric Artery Stenosis

Spontaneous Isolated Inferior Mesenteric Artery Dissection With Chronic Mesenteric Ischemia: Case Report and Endovascular Management

2018 ◽  
Vol 52 (7) ◽  
pp. 561-564
Author(s):  
Suresh Giragani ◽  
Ankit Balani ◽  
Viswanath Reddy ◽  
Keerthi Talari Bommakanti ◽  
Surendar Alwala ◽  
...  
Keyword(s):  
Lupus Erythematosus ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Mesenteric Ischemia ◽  
English Literature ◽  
Rare Condition ◽  
Surgical Reconstruction ◽  
Artery Dissection ◽  
Chronic Mesenteric Ischemia ◽  
Systemic Lupus

We report the clinical details, imaging findings, and management for a 39-year-old female presenting with recurrent episodes of pain in abdomen due to systemic lupus erythematous vasculitis associated with spontaneous isolated inferior mesenteric dissection. Spontaneous mesenteric artery dissection is an uncommon cause of mesenteric ischemia. Symptomatic spontaneous isolated inferior mesenteric artery (IMA) dissection is a rare condition, and its association with systemic lupus erythematosus is not previously described in the English literature. The optimal treatment options are debatable and include medical management, surgical reconstruction, and endovascular therapy. We wish to highlight spontaneous isolated IMA dissection as a rare etiology for chronic mesenteric ischemia and its management by endovascular methods.

scholarly journals Endovascular management of chronic mesenteric ischemia: a single centre experience in Western Rajasthan, India

2017 ◽  
Vol 5 (6) ◽  
pp. 2572
Author(s):  
Pawan Sarda ◽  
Goutam Kumar ◽  
Deepak Gupta ◽  
Sanjeev Sanghvi ◽  
Anil Baroopal
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Percutaneous Transluminal Angioplasty ◽  
Inferior Mesenteric Artery ◽  
Mesenteric Ischemia ◽  
Celiac Trunk ◽  
Transluminal Angioplasty ◽  
Chronic Mesenteric Ischemia ◽  
Percutaneous Transluminal

Background: Chronic mesenteric ischemia (CMI) or mesenteric angina is a condition characterised by inadequate blood supply to bowel as a result of stenosis affecting   one or more of the three mesenteric arteries: the celiac artery (CA), the superior mesenteric artery (SMA) and the inferior mesenteric artery (IMA).Methods: Ten patients with significant lesion, treated with PTA and stenting were selected for study and were followed at 2 weeks, at 2 months then at 6 months after index procedure to see composite of symptomatic improvement, weight gain and revascularization.Results: On mesenteric angiography, significant ostial stenosis of celiac trunk and superior mesenteric artery in 5 patients, 3 patients had significant ostial stenosis of celiac trunk and ostial stenosis of inferior mesenteric artery and 2 patients had significant stenosis of superior mesenteric artery. Percutaneous transluminal angioplasty (PTA) and stenting was done, final result was good and there was no residual stenosis and dissection. After stenting patients were stable and pain free. There were no post-operative complications. Follow up was done after 2 weeks and 2 months and then at six months. There was no postprandial abdominal pain on follow up and almost all patient had gained weight in 2 months and on 6 months of follow up, no case of repeat revascularization was recorded.Conclusions: Percutaneous transluminal angioplasty (PTA) and stenting to mesenteric artery is good alternative management of CMI. In present series, all cases were susses fully revascularized without residual stenosis and dissection.

Postprandial lower limb pain: An unusual presentation of visceral arteries occlusion

Vascular ◽  
2014 ◽  
Vol 23 (3) ◽  
pp. 316-318 ◽  
Author(s):  
Nikolaos Patelis ◽  
Konstantinos Papoutsis ◽  
Dimitrios Liakopoulos ◽  
Andreas Koutsoumpelis ◽  
Christos Bakogiannis ◽  
...  
Keyword(s):  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Mesenteric Ischemia ◽  
Celiac Artery ◽  
Mesenteric Arteries ◽  
Lower Limbs ◽  
Chronic Mesenteric Ischemia ◽  
Time Curve ◽  
Lower Limb Pain ◽  
Visceral Arteries

This case report describes an atypical and unique presentation of mesenteric arteries occlusive disease. The patient presented with typical symptoms of chronic mesenteric ischemia, as well as with an atypical new symptom; postprandial buttock and lower limbs pain. Pain followed the time curve of the postprandial abdominal discomfort, starting 30 min after meals and gradually resolving within 2 h. The patient had been tolerating the signs of chronic mesenteric ischemia quite well by adjusting the quantity of food per meal to relieve symptoms. Angiography showed that the celiac artery, the superior mesenteric artery, and distal aorta were occluded, leaving the inferior mesenteric artery as the only feeding vessel of all abdominal viscera and both the lower limbs. Since an English medical literature search returned only one marginally similar case, we consider this case of iliac arteries’ “steal syndrome” from the inferior mesenteric artery unique.

Inferior Mesenteric Artery Duplex in the Management of Chronic Mesenteric Ischemia

2011 ◽  
Vol 35 (3) ◽  
pp. 153-157 ◽  
Author(s):  
Houssam K. Younes ◽  
Karen Broadbent ◽  
Megan Hodge ◽  
Jean Bismuth ◽  
Mark G. Davies ◽  
...  
Keyword(s):  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Mesenteric Ischemia ◽  
Chronic Mesenteric Ischemia

Intravascular Stenting in the Superior Mesenteric Artery for Chronic Abdominal Angina

1997 ◽  
Vol 4 (4) ◽  
pp. 380-384 ◽  
Author(s):  
Jacques Busquet
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Mesenteric Ischemia ◽  
Chronic Mesenteric Ischemia ◽  
Surgical Revascularization ◽  
Clinical Expression ◽  
Residual Stenosis ◽  
Abdominal Angina ◽  
Arterial Insufficiency

Purpose: Abdominal angina is an early clinical expression of occlusive mesenteric arterial insufficiency, a condition that requires aggressive treatment to prevent intestinal infarction. We report a case of chronic mesenteric ischemia in a young polyvascular man who had symptoms of abdominal angina. Methods and Results: An aortic angiogram revealed a significant ostial stenosis of the superior mesenteric artery (SMA) associated with an occlusion of the inferior mesenteric artery. After predilation of the ostial portion of the SMA, significant residual stenosis remained. A balloon-expandable Palmaz P154 stent was deployed, restoring adequate luminal dimensions and blood flow. The patient was discharged after 2 days and remains asymptomatic at 5 months. Conclusion: Intraluminal stenting for treatment of mesenteric ischemia represents a viable alternative to surgical revascularization in selected cases.

Doppler Sonographic Criteria for the Diagnosis of Inferior Mesenteric Artery Stenosis

2009 ◽  
Vol 28 (5) ◽  
pp. 641-650 ◽  
Author(s):  
John S. Pellerito ◽  
Margarita V. Revzin ◽  
James C. Tsang ◽  
Craig R. Greben ◽  
James B. Naidich
Keyword(s):  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Artery Stenosis ◽  
Mesenteric Artery Stenosis
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