Wilkins Luke R, Stone James R
Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, VA.
Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, VA.
Tech Vasc Interv Radiol. 2015 Mar;18(1):31-7. doi: 10.1053/j.tvir.2014.12.005. Epub 2014 Dec 29.
Endovascular management and treatment of chronic mesenteric ischemia has taken on an increasing role in recent years. The safety, efficacy, and cost-effectiveness have been validated in several studies. The procedure is best performed by an operator with a complete understanding of the pertinent imaging findings; a thorough knowledge of the risks, benefits, limitations, and technical challenges of the procedure; and understanding of the importance and necessity of long-term clinical management. This article outlines a general approach to endovascular management of chronic mesenteric ischemia and discusses indications, potential complications, and technical aspects of the procedure.
近年来，慢性肠系膜缺血的血管内管理与治疗发挥着越来越重要的作用。多项研究已证实其安全性、有效性及成本效益。该手术最好由对相关影像学表现有全面了解、对手术的风险、益处、局限性及技术挑战有深入认识，并理解长期临床管理的重要性和必要性的操作者来进行。本文概述了慢性肠系膜缺血血管内管理的一般方法，并讨论了该手术的适应证、潜在并发症及技术要点。
