Wonju College of Medicine, Yonsei University, Korea.
J Zhejiang Univ Sci B. 2010 Aug;11(8):627-30. doi: 10.1631/jzus.B1001014.
It is a challenge to confirm chronic mesenteric ischemia (CMI) as a cause of gastrointestinal (GI) symptoms such as postprandial epigastric bloating, anorexia, and debilitating weight loss. Endovascular intervention for CMI has been gaining popularity because of the high morbidity associated with surgical revascularization. However, in EVI for superior mesenteric artery (SMA) occlusion, the transfemoral approach is limited by difficulty in coaxial alignment of the guiding catheter, which leads to insufficient back-up support. Herein, we report on a 58-year-old male patient with chronic total occlusion of the SMA, which was successfully revascularized by endovascular intervention via the left radial artery. Transradial endovascular therapy may be another treatment option for the treatment of CMI.
确认慢性肠系膜缺血（CMI）是胃肠道（GI）症状如餐后上腹胀、食欲不振和进行性体重减轻的原因具有挑战性。由于与外科血运重建相关的高发病率，CMI 的血管内介入治疗越来越受欢迎。然而，在肠系膜上动脉（SMA）闭塞的 EVI 中，经股动脉入路受到引导导管同轴对准困难的限制，这导致支持不足。在此，我们报告了一例 58 岁男性患者，其 SMA 慢性完全闭塞，通过左桡动脉成功进行了血管内介入再通。经桡动脉血管内治疗可能是治疗 CMI 的另一种治疗选择。
