Chronic Mesenteric Ischemia
Key Points
Key Points
- Chronic mesenteric ischemia (CMI) is caused by the failure to achieve postprandial intestinal blood flow resulting in an imbalance between the supply and demand for oxygen and other metabolites.
- This adverse hemodynamic event is typically caused by atherosclerotic occlusive disease at the orifices of the mesenteric vessels.
Diagnosis
Diagno...
...n patients with abdominal pain, wei...
...recommend making a diagnosis of CMI...
...ecommend using the mesenteric duplex...
...ecommend using CT arteriography (CTA) as the p...
Treatment
...eatment
...cations for Treatmen...
...end revascularization in patients with CMI...
...recommend that total parenteral nutrition...
...suggest that the SMA is the primary...
...that the celiac axis and inferior mesent...
In patients with symptoms consistent with CMI an...
...ients with symptoms consistent with C...
...mend that asymptomatic patients with seve...
...ith severe MAOD involving the SMA undergoing aor...
...atients with combined MAOD and mesenteric artery a...
...e of Treatment...
The choice of treatment for patients with...
...ecommend endovascular revascularizat...
...reserving open surgical revascularization for...
...reoperative Evaluation...
...ergoing revascularization for CMI should be opti...
...taining a CTA to delineate the vascular a...
...ndovascular Revascularizat...
...sing balloon-expandable covered intraluminal stent...
...Surgical Revascularization...
...e choice of open surgical revascularization...
Follow-up
...ollow-u...
Surveillance and Remedi...
...undergoing revascularization for CMI should be...
...ients should be followed in the outpatient set...
...eillance with mesenteric duplex ultrasound t...
...end performing a CTA or catheter-based ar...
...ts with recurrent symptoms of CMI, we r...
...ients with asymptomatic recurrent stenosis, we su...
...suggest that the choice of revascularization for...