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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2016; 26(04): 460-465
DOI: 10.4103/0971-3026.195794
Interventional Radiology

Percutaneous transluminal angioplasty and stenting in the management of chronic mesenteric angina: A single center experience

Tixon Thomas
Department of Radiology, Amrita Institute of Medical Science, Amrita Vishwavidyapeetam, Kochi, Kerala, India
,
Nazar P Kader
Department of Radiology, Amrita Institute of Medical Science, Amrita Vishwavidyapeetam, Kochi, Kerala, India
,
Nirmal K Prabhu
Department of Radiology, Amrita Institute of Medical Science, Amrita Vishwavidyapeetam, Kochi, Kerala, India
,
Rajesh Kannan
Department of Radiology, Amrita Institute of Medical Science, Amrita Vishwavidyapeetam, Kochi, Kerala, India
,
Sreekumar K Pullara
Department of Radiology, Amrita Institute of Medical Science, Amrita Vishwavidyapeetam, Kochi, Kerala, India
,
Srikanth Moorthy
Department of Radiology, Amrita Institute of Medical Science, Amrita Vishwavidyapeetam, Kochi, Kerala, India
› Author Affiliations
Financial support and sponsorship Nil.
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Abstract

Introduction: The objective of our study was to review the results of percutaneous angioplasty (PTA)/stenting in the treatment of patients who presented with symptoms and angiographic findings of chronic mesenteric ischemia (CMI). Materials and Methods: We performed a retrospective analysis of 13 consecutive patients from a single institution who underwent PTA/stenting for the treatment of symptoms suggestive of CMI. Results: All 13 patients in our study were men, and most common presenting symptoms were weight loss and postprandial pain. Atherosclerosis was the most common cause. PTA and stenting was performed in 9 patients and PTA alone was done in 4 patients. Primary technical success rate was 92% with complete resolution of symptoms within 2 weeks in all patients. No statistical difference was noted in primary clinical success rate based on the number of vessels treated or the method of treatment. However, in patients whom SMA was treated had longer duration of symptom-free survival as compared to other vessels. Conclusion: PTA and stenting are very effective therapeutic options for patients presenting with CMI symptoms. It should be considered as the first-line of management in such patients.

Keywords

Angioplasty - chronic mesenteric ischemia - inferior mesenteric artery - stenting - superior mesenteric artery


Publication History

Article published online:
30 July 2021

© 2016. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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