Endovascular Therapy for a Patient With Chronic Mesenteric Ischemia

• Published in: Journal of the Formosan Medical Association Vol. 109; no. 4; pp. 315 - 319
• Main Authors: Ke, Shin Rong, Chiang, Fu-Tien
• Format: Journal Article
• Language: English
• Published: Singapore Elsevier B.V 01.04.2010; Elsevier
• Subjects: angioplasty; Angioplasty, Balloon; atherosclerosis; Celiac Artery - diagnostic imaging; Celiac Artery - physiopathology; Celiac Artery - surgery; Chronic Disease; chronic mesenteric ischemia; Constriction, Pathologic - diagnostic imaging; Constriction, Pathologic - surgery; elderly; Female; Humans; Internal Medicine; Ischemia - diagnostic imaging; Ischemia - etiology; Ischemia - physiopathology; Ischemia - therapy; Magnetic Resonance Angiography; Mesenteric Arteries - diagnostic imaging; Mesenteric Arteries - physiopathology; Mesenteric Arteries - surgery; Radiography; stenting; Stents; Treatment Outcome; atherosclerosis; elderly; chronic mesenteric ischemia; angioplasty; stenting
• ISSN: 0929-6646; 1876-0821
• DOI: 10.1016/S0929-6646(10)60058-7

Percutaneous transluminal angioplasty is now used widely in the revascularization of peripheral artery disease. We report the case of a 75-year-old woman with chronic mesenteric ischemia, who presented with postprandial abdominal pain, food fear, and weight loss for 6 months. Mesenteric angiography showed critical stenosis in the celiac trunk, and superior and inferior mesenteric arteries. Instead of surgical revascularization, balloon angioplasty and stenting was performed on the celiac trunk and superior mesenteric artery. The patient had improved appetite and weight gain after the procedure. This case report demonstrates the clinical benefit of multiple vessel intervention with stenting in the treatment of chronic mesenteric ischemia.