肠系膜下动脉支架置入术作为一种治疗肠系膜上动脉和腹腔干闭塞患者慢性肠系膜缺血的新方法。
Inferior Mesenteric Artery Stenting as a Novel Treatment for Chronic Mesenteric Ischemia in Patients with an Occluded Superior Mesenteric Artery and Celiac Trunk.
作者信息
Wohlauer M, Kobeiter H, Desgranges P, Becquemin J P, Cochennec F
机构信息
Department of Surgery, University of Colorado, Aurora, CO, USA.
Department of Vascular and Endovascular Surgery, Henri Mondor Hospital, Créteil, France.
出版信息
Eur J Vasc Endovasc Surg. 2014 Mar;27(3):e21-e23. doi: 10.1016/j.ejvsextra.2014.01.001.
INTRODUCTION
Chronic mesenteric ischemia (CMI) is a challenging problem, with revascularization the mainstay of treatment. Management of CMI is especially challenging in the patient with superior mesenteric artery (SMA) and celiac artery (CA) occlusions.
REPORT
We report a case series of four patients with chronic mesenteric ischemia who were not candidates for CA or SMA revascularization who were successfully treated with inferior mesenteric artery (IMA) angioplasty and stent placement to improve collateral circulation and palliate symptoms.
DISCUSSION
To our knowledge, this is the largest case series to date reporting the use of an IMA stent to improve collateral circulation in patients with CMI.
引言
慢性肠系膜缺血（CMI）是一个具有挑战性的问题，血管重建是主要的治疗方法。在患有肠系膜上动脉（SMA）和腹腔干动脉（CA）闭塞的患者中，CMI的管理尤其具有挑战性。
报告
我们报告了一组4例慢性肠系膜缺血患者的病例系列，这些患者不适合进行CA或SMA血管重建，他们通过肠系膜下动脉（IMA）血管成形术和支架置入术成功治疗，以改善侧支循环并缓解症状。
讨论
据我们所知，这是迄今为止报告使用IMA支架改善CMI患者侧支循环的最大病例系列。
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