Kölbel T, Wipper S, Diener H, Debus E S
Klinik und Poliklinik für Gefässmedizin, Universitäres Herzzentrum Hamburg GmbH, Universitätskrankenhaus Eppendorf, Deutschland.
Chirurg. 2011 Oct;82(10):880-6. doi: 10.1007/s00104-011-2101-0.
Arteriosclerosis is the most common cause of chronic mesenteric ischemia, which is characterized by postprandial pain, unintentional weight loss and food avoidance. The use of endovascular techniques for revascularization of chronic stenoses and occlusions of the mesenteric arteries has rapidly increased over the last 10 years. The results of endovascular therapy have shown less morbidity and mortality compared to open surgical procedures, such as bypass and thrombendarterectomy. Early publications have reported higher rates of restenosis, symptomatic recurrence and reinterventions but recent case series show comparable patency rates. This article reviews visceral arterial anatomy and anomalies and endovascular techniques for the revascularization of mesenteric arteries.
动脉硬化是慢性肠系膜缺血最常见的病因，其特征为餐后疼痛、非故意性体重减轻和饮食回避。在过去10年中，采用血管内技术对肠系膜动脉慢性狭窄和闭塞进行血运重建的情况迅速增加。与诸如搭桥和动脉内膜血栓切除术等开放性外科手术相比，血管内治疗的结果显示出更低的发病率和死亡率。早期出版物报道了更高的再狭窄率、症状复发率和再次干预率，但近期的病例系列显示通畅率相当。本文综述了内脏动脉的解剖结构和异常情况以及肠系膜动脉血运重建的血管内技术。
