Resolution of mesenteric angina with percutaneous transluminal angioplasty of a superior mesenteric artery stenosis using a balloon catheter

1980 ◽  
Vol 5 (1) ◽  
pp. 367-369 ◽  
Author(s):  
Renan Uflacker ◽  
Marco A. Goldany ◽  
Samuel Constant
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Percutaneous Transluminal Angioplasty ◽  
Balloon Catheter ◽  
Transluminal Angioplasty ◽  
Artery Stenosis ◽  
Percutaneous Transluminal ◽  
Mesenteric Artery Stenosis

scholarly journals Use of Shockwave intravascular lithotripsy for the treatment of symptomatic and severely calcified superior mesenteric artery stenosis

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Oscar Balboa Arregui ◽  
Carmen Seoane Pose ◽  
María Balboa Alonso ◽  
Teresa Bolaño Pampín
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
New Technology ◽  
Balloon Catheter ◽  
Artery Stenosis ◽  
Level Of Evidence ◽  
Calcified Plaque ◽  
Visceral Arteries ◽  
New Treatment ◽  
Mesenteric Artery Stenosis

Abstract Background We present the use of intravascular lithotripsy as a treatment for highly calcified superior mesenteric artery stenosis. Case presentation A 67-year-old diabetic man had chronic postprandial abdominal pain and weight loss. Computed tomography angiography revealed highly calcified stenosis of the superior mesenteric artery. Selective angiography confirmed severe stenosis. A Shockwave lithotripsy balloon catheter was successfully used via brachial access to modify calcified plaque and increase vascular lumen. After 12 months of follow-up the patient had gained weight and had no abdominal postprandial pain. Conclusion Intravascular lithotripsy could be considered a new treatment modality to modify calcified lesions in the visceral arteries. More controlled studies are needed to demonstrate the efficacy, safety and feasibility of this new technology. Level of evidence 4, Case Report

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.

scholarly journals Abdominal Angina in a 43-Year Old Woman – Treatment with Percutaneous Transluminal Angioplasty

1988 ◽  
Vol 2 (1) ◽  
pp. 28-30 ◽  
Author(s):  
Noel B. Hershfield ◽  
James A. G. Kluett ◽  
Joseph E. Desautels
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Percutaneous Transluminal Angioplasty ◽  
Clinical Presentation ◽  
Transluminal Angioplasty ◽  
Chronic Abdominal Pain ◽  
Significant Stenosis ◽  
Abdominal Angina ◽  
Percutaneous Transluminal ◽  
Careful History

A patient with the clinical presentation of chronic abdominal angina is reported. The diagnosis was confirmed by angiographic studies which revealed stenosis of the celiac axis artery at its origin, as well as significant stenosis of the superior mesenteric artery near its origin. Transluminal angioplasty of the superior mesenteric artery was performed with success. After o ne year the patient is free from rain. This case demonstrates the efficacy of percutaneous transluminal angioplasty in this condition and the importance of careful history and physical examination in patients with chronic abdominal pain.

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