Korean J Gastroenterol.  2011 Apr;57(4):243-248. 10.4166/kjg.2011.57.4.243.

Clinical Effectiveness of Percutaneous Angioplasty for Acute and Chronic Mesenteric Ischemia: A Six Case Series

• Jung YM
• Jo Y
• Ahn SB
• Son BK
• Kim SH
• Park YS
• Bae JH
• Cho YK

• KMID: 1718405
• DOI: http://doi.org/10.4166/kjg.2011.57.4.243

Abstract

Intestinal ischemia is divided into three categories, namely, acute mesenteric ischemia (AMI), chronic mesenteric ischemia (CMI), and colonic ischemia. AMI can result from arterial or venous thrombi, emboli, and vasoconstriction secondary to low-flow states. It is an urgent condition which can result in high mortality rate. The predominant causative factor of CMI is stenosis or occlusion of the mesenteric arterial circulation, and it is characterized by postprandial abdominal pain and weight loss. Surgery is the treatment of choice for intestinal ischemia. However, it has been recently reported that percutaneous transluminal angioplasty with stent placement and/or thrombolysis is an effective therapy in various types of mesenteric ischemia. We report six cases of mesenteric ischemia which were successfully treated by percutaneous angioplasty, and review the literature from South Korea.

Keyword

Ischemia; Mesenteric arteries; Mesenteric vascular occlusion; Thrombolytic therapy; Angioplasty

MeSH Terms

Acute Disease
Aged
Aged, 80 and over
*Angioplasty, Balloon
Chronic Disease
Female
Humans
Intestines/*blood supply
Ischemia/surgery/*therapy
Male
Mesenteric Artery, Superior
Mesenteric Vascular Occlusion/surgery
Middle Aged
Tomography, X-Ray Computed