1,106 results match your criteria Chronic Mesenteric Ischemia


Uncommon Presentations of Multiple Myeloma.

Cureus 2020 Jun 1;12(6):e8400. Epub 2020 Jun 1.

Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.

Multiple myeloma is a rare malignancy that exhibits a wide range of possible clinical presentations. In recent years, with the advent of stem cell transplantation, the prognosis of patients with multiple myeloma has been increasing. We searched the literature for reports of atypical myeloma presentations to aid clinicians in formulating differential diagnoses and to increase the number of cases diagnosed early. Read More

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http://dx.doi.org/10.7759/cureus.8400DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331905PMC

Distal Superior Mesenteric Artery Endarterectomy Remains Excellent Option for Mesenteric Revascularization in the Endovascular Era.

Ann Vasc Surg 2020 Jul 4. Epub 2020 Jul 4.

University of Maryland School of Medicine, Division of Vascular Surgery, Department of Surgery, 22 South Greene Street, Suite S10B001, Baltimore, MD 21201.

Background: Endovascular treatment of mesenteric lesions has become increasingly prevalent. Mesenteric bypass, however, remains the optimal treatment in the cases of chronic mesenteric ischemia (CMI) in young, medically fit patients given its durability. Endarterectomy, has gone by the wayside, but in certain situations, this technique remains surgically relevant and should still be employed. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.065DOI Listing

Abdominal Magnetic Resonance Angiography.

Magn Reson Imaging Clin N Am 2020 Aug 3;28(3):395-405. Epub 2020 Jun 3.

Department of Radiology, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USA. Electronic address:

MR imaging hardware and software improvements have led to new applications for contrast-enhanced and noncontrast-enhanced magnetic resonance angiography in the abdomen and pelvis. Higher magnetic field strength MR imaging scanners have greater signal-to-noise ratio and contrast-to-noise ratio, which is used to improve spatial resolution or temporal resolution for these techniques. New noncontrast-enhanced sequences offer high-resolution magnetic resonance angiography without contrast and provide additional hemodynamic information. Read More

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http://dx.doi.org/10.1016/j.mric.2020.03.005DOI Listing

[Clinical implications of chronic mesenteric ischemia in elderly and senile patients].

Ter Arkh 2020 Apr 27;92(2):74-80. Epub 2020 Apr 27.

Chelyabinsk Regional Clinical Hospital.

Aim: To evaluate the sensitivity and specificity of the clinical criteria for the diagnosis of chronic mesenteric ischemia in elderly and senile patients with mesenteric atherosclerosis.

Materials And Methods: The study included 142 patients (82 men and 60 women). The median age of patients is 66. Read More

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http://dx.doi.org/10.26442/00403660.2020.02.000522DOI Listing

Pathogenesis and Clinical Management of Mesenteric Fibrosis in Small Intestinal Neuroendocine Neoplasms: A Systematic Review.

J Clin Med 2020 Jun 8;9(6). Epub 2020 Jun 8.

1st Department of Propaedeutic Internal Medicine, Endocrine Unit, National and Kapodistrian, University of Athens, 11527 Athens, Greece.

Mesenteric fibrosis (MF) constitutes an underrecognized sequela in patients with small intestinal neuroendocrine neoplasms (SI-NENs), often complicating the disease clinical course. The aim of the present systematic review, carried out by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology, is to provide an update in evolving aspects of MF pathogenesis and its clinical management in SI-NENs. Complex and dynamic interactions are present in the microenvironment of tumor deposits in the mesentery. Read More

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http://dx.doi.org/10.3390/jcm9061777DOI Listing

Case report and systematic review of mesenteric artery by-pass for non-atherosclerotic mesenteric vascular disease.

Authors:
Wajiha Zahra

Int J Surg Case Rep 2020 11;70:249-250. Epub 2020 May 11.

Doncaster Royal Infirmary, Thorne Road, Doncaster DN2 5LT, United Kingdom. Electronic address:

Introduction: Mesenteric artery re-vascularization using bypass or angioplasty is a standard of care in atherosclerotic mesenteric vascular disease. However, there are no certain guidelines for the management of non-atherosclerotic thrombophilic mesenteric vessel disease other than anti-coagulation.

Case Report: We are reporting a case of a 36 years old lady with post-prandial angina and weight loss on the background of anti-phospholipid syndrome having tripple mesentric vessel occlusive disease who underwent 2 vessel aorto-mesenteric bypass. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242995PMC

Long-Term Outcomes of Mesenteric Stenting and Analysis of In-Stent Restenosis Duplex Velocity Criteria.

Ann Vasc Surg 2020 May 16. Epub 2020 May 16.

Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH.

Background: Endovascular therapy for chronic mesenteric ischemia (CMI) is the mainstay of treatment. Duplex velocity criteria within stented mesenteric vessels are not well established. We describe single-center outcomes of mesenteric stenting for CMI and analyze duplex velocities associated with in-stent restenosis (ISR). Read More

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http://dx.doi.org/10.1016/j.avsg.2020.04.064DOI Listing

Retrograde Recanalization of the Celiac Artery via the Pancreaticoduodenal Arcade as a Safe and Valid Alternative to Antegrade Access.

Vasc Endovascular Surg 2020 Aug 18;54(6):477-481. Epub 2020 May 18.

Department of Diagnostic and Interventional Radiology, RWTH University Hospital Aachen, Aachen, Germany.

Purpose: The antegrade recanalization of an occlusion or high-grade stenosis of the celiac artery via the aorta often represents a technical challenge. A retrograde approach via the superior mesenteric artery and the pancreaticoduodenal arcade may be an alternative approach. Based on our experience, we assess the technical success and the short- and mid-term outcomes of this bailout procedure. Read More

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http://dx.doi.org/10.1177/1538574420927132DOI Listing

Laser Atherectomy to Treat Severe In Stent Restenosis of the Superior Mesenteric Artery.

J Cardiol Cases 2020 May 6;21(5):176-178. Epub 2020 Feb 6.

Division of Cardiology, Department of Internal Medicine, Palmetto General Hospital, Hialeah, FL, USA.

Chronic mesenteric ischemia is an uncommon disorder in the USA. Frequently, a percutaneous approach is the first therapeutic choice to reduce its symptoms and improve outcomes. After an initial treatment with stents, further interventions might be necessary to address in-stent restenosis and re-establish a better visceral flow. Read More

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http://dx.doi.org/10.1016/j.jccase.2020.01.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7195566PMC

Diagnostic and therapeutic approaches in chronic mesenteric ischemia have improved.

Authors:
Bala Miklosh

United European Gastroenterol J 2020 May;8(4):369-370

Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

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http://dx.doi.org/10.1177/2050640620921356DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7226694PMC

Early and Midterm Outcomes of Open and Endovascular Revascularization of Chronic Mesenteric Ischemia.

World J Surg 2020 Aug;44(8):2804-2812

Department for Vascular and Endovascular Surgery and Munich Aortic Center (MAC), University Hospital Rechts der Isar, Technical University of Munich, Munich, Germany.

Background: Revascularization strategies for chronic mesenteric ischemia (CMI) include open (OR) and endovascular (ER) modalities. The primary objective of this study was to analyze the safety and effectiveness of OR and ER and the impact of clinical and morphological variables on early and midterm outcomes in a consecutive series of CMI patients in a tertiary referral center.

Patients And Methods: From 2004 to 2017, all CMI patients treated with OR and ER were retrospectively identified. Read More

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http://dx.doi.org/10.1007/s00268-020-05513-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7326829PMC

Challenges Encountered during the Treatment of Acute Mesenteric Ischemia.

Gastroenterol Res Pract 2020 31;2020:5316849. Epub 2020 Mar 31.

Department of General, Gastroenterological and Oncological Surgery, Collegium Medicum Nicolaus Copernicus University, Toruń, Poland.

Results: Acute ischemia of the bowel mesentery was diagnosed in 41 patients (27 women and 14 men; mean age, 65.4 years). All patients underwent laparotomy. Read More

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http://dx.doi.org/10.1155/2020/5316849DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150694PMC

European guidelines on chronic mesenteric ischaemia - joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric ischaemia.

United European Gastroenterol J 2020 May 16;8(4):371-395. Epub 2020 Apr 16.

Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.

Chronic mesenteric ischaemia is a severe and incapacitating disease, causing complaints of post-prandial pain, fear of eating and weight loss. Even though chronic mesenteric ischaemia may progress to acute mesenteric ischaemia, chronic mesenteric ischaemia remains an underappreciated and undertreated disease entity. Probable explanations are the lack of knowledge and awareness among physicians and the lack of a gold standard diagnostic test. Read More

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http://dx.doi.org/10.1177/2050640620916681DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7226699PMC

Retrograde open mesenteric stenting should be considered as the initial approach to acute mesenteric ischemia.

J Vasc Surg 2020 Apr 8. Epub 2020 Apr 8.

Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pa. Electronic address:

Objective: Retrograde open mesenteric stenting (ROMS) is an alternative to traditional bypass in patients who present with acute mesenteric ischemia (AMI). However, there is a paucity of data comparing outcomes of ROMS with other open surgical approaches. This study represents the largest single-institution experience with ROMS and aims to compare outcomes of ROMS with those of conventional mesenteric bypass. Read More

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http://dx.doi.org/10.1016/j.jvs.2020.02.044DOI Listing

A Short Series of Laparoscopic Mesenteric Bypasses for Chronic Mesenteric Ischemia.

Vasc Health Risk Manag 2020 20;16:87-97. Epub 2020 Mar 20.

Department of Vascular Surgery, Heart, Lung and Vascular Clinic, Oslo University Hospital Aker, Oslo, Norway.

Background: Laparoscopic aortomesenteric bypass may be performed to treat the chronic mesenteric ischemia patients who are not suitable for endovascular treatment. This study presents an initial experience with a limited series of laparoscopic mesenteric artery revascularization for the treatment of mesenteric ischemia.

Methods: Chronic mesenteric ischemia (CMI) patients with previous unsuccessful endovascular treatment or with arterial occlusion and extensive calcification precluding safe endovascular treatment were offered laparoscopic mesenteric revascularization. Read More

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http://dx.doi.org/10.2147/VHRM.S243264DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098165PMC

Review Article: Mesenteric Ischemia.

Curr Gastroenterol Rep 2020 Mar 17;22(4):17. Epub 2020 Mar 17.

Division of Digestive Diseases, Yale University School of Medicine, New Haven, CT, USA.

Purpose Of Review: Mesenteric ischemia (MI), both acute (AMI) and chronic (CMI), is a challenging diagnosis to make, and early diagnosis and treatment are vital to improve outcomes. This manuscript summarizes the most up to date information on diagnosis and treatment of these disorders.

Recent Findings: There have been several significant advancements in the computed tomography (CT) diagnostic imaging as well as medical and endovascular management of AMI and CMI. Read More

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http://dx.doi.org/10.1007/s11894-020-0754-xDOI Listing

Renal and Mesenteric Artery Intervention.

Interv Cardiol Clin 2020 04 31;9(2):169-185. Epub 2020 Jan 31.

Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Center, Ochsner Medical Center, The Ochsner Clinical School, University of Queensland, 1514 Jefferson Highway, New Orleans, LA 70121, USA; Department of Cardiology, Ochsner Medical Center, 3rd Floor, 1514 Jefferson Highway, New Orleans, LA 70121, USA. Electronic address:

Atherosclerotic renal artery stenosis is the most common cause of secondary hypertension and may cause progressive renal disease and cardiac destabilization syndromes. Guideline-directed medical therapy is advised in all patients. Patients with refractory symptoms and hemodynamically significant stenoses are more likely to benefit from renal artery stent placement. Read More

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http://dx.doi.org/10.1016/j.iccl.2019.11.002DOI Listing

Acute superior mesenteric venous thrombosis results in high rates of readmission and morbidity.

J Vasc Surg Venous Lymphat Disord 2020 Mar 2. Epub 2020 Mar 2.

Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pa. Electronic address:

Objective: Superior mesenteric venous thrombosis (MVT) is a poorly understood clinical entity, and as such, outcomes are poorly described. This study aimed to identify predictors of bowel ischemia after MVT and to compare outcomes for patients treated medically (group 1) with those for patients treated with bowel resection (group 2).

Methods: This was a retrospective, single-institution study capturing all patients diagnosed with symptomatic acute MVT on computed tomography imaging from 2008 to 2018. Read More

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http://dx.doi.org/10.1016/j.jvsv.2020.01.007DOI Listing

Recanalization using direct stenting before bowel resection for acute-on-chronic superior mesenteric artery occlusion: A case report.

Int J Surg Case Rep 2020 21;68:92-95. Epub 2020 Feb 21.

Emergency and Intensive Care Center, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Ichihara, Chiba, 299-0111, Japan.

Introduction: Acute-on-chronic mesenteric ischemia (ACMI) refers to acute mesenteric ischemia (AMI) developing in a patient displaying typical symptoms of chronic mesenteric ischemia (CMI). Delayed treatment can cause short bowel syndrome and increased mortality. Intervention involves intestinal revascularization and resection of the necrotic intestine. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.02.040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7052432PMC
February 2020

Pearls, Pitfalls, and Conditions that Mimic Mesenteric Ischemia at CT.

Radiographics 2020 Mar-Apr;40(2):545-561

From the Department of Diagnostic Radiology, Queen Elizabeth II Health Sciences Centre and Dalhousie University, Victoria General Building, 1276 S Park St, 3rd Floor, Halifax, NS, Canada B3H 2Y9 (L.A.F., M.D.R.B., S.E.C., J.A.R., A.F.C.); and Joint Department of Medical Imaging, University Health Network, Mount Sinai Hospital, Women's College Hospital, and University of Toronto, Toronto, Ontario, Canada (S.T.).

Acute mesenteric ischemia (AMI) is a life-threatening condition with a high mortality rate. The diagnosis of AMI is challenging because patient symptoms and laboratory test results are often nonspecific. A high degree of clinical and radiologic suspicion is required for accurate and timely diagnosis. Read More

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http://dx.doi.org/10.1148/rg.2020190122DOI Listing

Diagnosis of Acute Mesenteric Ischemia in a Patient with End-Stage Renal Disease with Normal Serum Lactate.

Cureus 2020 Jan 20;12(1):e6708. Epub 2020 Jan 20.

Internal Medicine, AdventHealth, Orlando, USA.

Acute mesenteric ischemia (AMI) is a life-threatening vascular emergency and a diagnostic challenge for physicians. It represents a group of pathophysiologic processes that have a common end point, that is, bowel infarction, and has a nonspecific clinical picture and a high mortality rate. The most common underlying etiologies are arterial embolism, arterial thrombosis, nonocclusive mesenteric ischemia (NOMI), and mesenteric venous thrombosis. Read More

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http://dx.doi.org/10.7759/cureus.6708DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029830PMC
January 2020

Naturally shrunk visceral artery aneurysms by stenting for the superior mesenteric artery occlusion.

Minim Invasive Ther Allied Technol 2020 Feb 26:1-5. Epub 2020 Feb 26.

Department of Radiology, Shiga University of Medical Science, Shiga, Japan.

A 77-year-old woman who had experienced postprandial abdominal pain for four years was admitted to our institution presenting sudden and severe abdominal pain. Contrast-enhanced computed tomography (CECT) demonstrated complete short-segmented occlusion in the orifice of the superior mesenteric artery (SMA), and saccular aneurysms in the right hepatic artery and the anterior superior pancreaticoduodenal artery. She was diagnosed with abdominal angina due to occlusion of the SMA. Read More

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http://dx.doi.org/10.1080/13645706.2020.1732426DOI Listing
February 2020

Transient Reperfusion-Like Injury following Endovascular Treatment of Chronic Mesenteric Ischemia.

J Vasc Interv Radiol 2020 Mar 29;31(3):519-521. Epub 2020 Jan 29.

Division of Interventional Radiology, Department of Radiology, Duke University Medical Center, Box 3808, 2301 Erwin Road, Durham, NC 27710.

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http://dx.doi.org/10.1016/j.jvir.2019.09.015DOI Listing

Endovascular Pressure Measurements to Assess the Functional Severity of Mesenteric Arterial Stenoses.

J Vasc Interv Radiol 2020 Mar 29;31(3):430-437. Epub 2020 Jan 29.

Department of Radiology, Erasmus MC University Medical Center, Doctor Molewaterplein 40, 3015 GD Rotterdam, the Netherlands.

Purpose: To assess the ability of pressure measurements to discriminate clinically significant celiac artery (CA) or superior mesenteric artery (SMA) stenosis in patients with suspected chronic mesenteric ischemia (CMI).

Materials And Methods: Single-center, retrospective cohort study of 41 intra-arterial pressure measurements during mesenteric angiography with intended revascularization, performed in 37 patients (mean age 67.7 ± 10. Read More

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http://dx.doi.org/10.1016/j.jvir.2019.10.019DOI Listing

[Dual Repair for Ischemic/Functional Mitral Regurgitation].

Kyobu Geka 2020 Jan;73(1):16-21

Department of Cardiovascular Surgery, Iseikai Hospital, Osaka, Japan.

In the era of M-clip, surgery for ischemic/functional mitral regurgitation( FMR) which is a ventricular disease remains a challenge. We try to do ventricular treatment as much as possible. We reviewed 11 patients( 9 males, 63±12 years old) who had "dual repair" surgery which consists of anterior relocation of both papillary heads/muscles and simplified ventricular restoration (frozen-apex restoration). Read More

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January 2020

Reimplantation of a Stenotic Inferior Mesenteric Artery for Chronic Visceral Artery Occlusion after Failed Bypass to the Superior Mesenteric Artery.

Ann Vasc Dis 2019 Dec;12(4):559-561

Department of Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

The patient was a 71-year-old man complaining of postprandial abdominal pain and weight loss. Computed tomography angiography showed occlusion of the superior mesenteric artery and the celiac axis. The inferior mesenteric artery, supplying the mesenteric circulation, was stenotic at its origin. Read More

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http://dx.doi.org/10.3400/avd.cr.19-00053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957906PMC
December 2019

Gangrenous Gastritis: Unusual Cause Of Upper Gi Bleeding.

Authors:
Umair Iqbal

J Ayub Med Coll Abbottabad 2019 Oct-Dec;31(4):634-635

Bassett Medical Center, United States.

Chronic Mesenteric ischemia is an episodic hypoperfusion of small intestine due to atherosclerotic narrowing of mesenteric vessels. Typically, patients report postprandial epigastric pain. The association of abdominal pain with eating results in fear of eating and weight loss. Read More

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Direct Retrograde Bypass is Preferable to Antegrade Bypass for Open Mesenteric Revascularization.

Ann Vasc Surg 2020 Jul 10;66:263-271. Epub 2020 Jan 10.

Department of Surgery, Section of Vascular Surgery, University of Kentucky College of Medicine, Lexington, KY. Electronic address:

Background: Mesenteric bypass grafts can be constructed either antegrade or retrograde. There is debate regarding which is the optimal approach. We have modified the technique for retrograde mesenteric revascularization using a direct open retrograde revascularization (DORR) technique. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.01.019DOI Listing

Recanalization of superior mesenteric artery chronic total occlusion using hybrid algorithm and dissection reentry device.

Catheter Cardiovasc Interv 2020 Jun 11;95(7):1314-1319. Epub 2020 Jan 11.

Division of Interventional Cardiology and Endovascular Medicine, Einstein Medical Center, Philadelphia, Pennsylvania.

Chronic total occlusion (CTO) of mesenteric arteries with associated chronic mesenteric ischemia (CMI) is associated with high morbidity and mortality. Endovascular intervention has been associated with high technical success with high rates of freedom from symptoms and long-term patency. However, to achieve high procedural success, use of optimal vascular access and expertise in CTO hybrid algorithm including advanced dissection reentry strategies are essential. Read More

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http://dx.doi.org/10.1002/ccd.28704DOI Listing

Total Endovascular Therapy of Abdominal Aortic Aneurysm, Peripheral Artery Disease, and Chronic Mesenteric Ischemia: A Challenging Case.

Vasc Specialist Int 2019 Dec 31;35(4):237-240. Epub 2019 Dec 31.

Interventional Radiology Department, "Georgios Papanikolaou" General Hospital of Thessaloniki, Thessaloniki, Greece.

We presented a challenging case of a patient diagnosed with abdominal aortic aneurysm (AAA), peripheral artery disease, and chronic mesenteric ischemia (CMI). Herein, we describe the treatment in this high-risk patient diagnosed with CMI who also had critical limb ischemia and his AAA had rapidly expanded. First we performed angioplasty and celiac arterial stenting. Read More

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http://dx.doi.org/10.5758/vsi.2019.35.4.237DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6941768PMC
December 2019

Dissecting visceral fibromuscular dysplasia reveals a new vascular phenotype of the disease: a report from the ARCADIA-POL study.

J Hypertens 2020 Apr;38(4):737-744

Department of Hypertension, Institute of Cardiology, Warsaw.

Objective: Visceral artery fibromuscular dysplasia (VA FMD) manifestations range from asymptomatic to life-threatening. The aim of the study is to evaluate the prevalence and clinical characteristics of VA FMD.

Methods: A total of 232 FMD patients enrolled into ongoing ARCADIA-POL study were included in this analysis. Read More

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http://dx.doi.org/10.1097/HJH.0000000000002327DOI Listing
April 2020
4.720 Impact Factor

Chronic mesenteric ischaemia masked by candida esophagitis in a renal transplant patient.

BMJ Case Rep 2019 Dec 30;12(12). Epub 2019 Dec 30.

Comprehensive Transplant Center, Ohio State University, Columbus, Ohio, USA.

Chronic mesenteric ischaemia is a severe disease that is often missed due to its non-specific presentation. Immunosuppressed patients are at risk for infectious gastrointestinal disease, which may further obscure the diagnosis of chronic mesenteric ischaemia. In this case, a patient's symptoms and diagnostic workup were consistent with candida esophagitis. Read More

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http://dx.doi.org/10.1136/bcr-2019-232938DOI Listing
December 2019

Coronary artery disease and mesenteric artery stenosis - Two sides of the same coin? - Long term prospective analysis.

Intractable Rare Dis Res 2019 Nov;8(4):245-251

Department of General Surgery, Stanley Medical College, Chennai, India.

Coronary artery disease (CAD) patients might have concomitant mesenteric artery stenosis (MAS). Identification of risk factors predicting mesenteric artery involvement might guide screening high risk individuals. A dilemma of intervention in radiologically severe MAS exists. Read More

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http://dx.doi.org/10.5582/irdr.2019.01087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6929593PMC
November 2019

Outcomes of endovascular repair of chronic postdissection compared with degenerative thoracoabdominal aortic aneurysms using fenestrated-branched stent grafts.

J Vasc Surg 2019 Dec 24. Epub 2019 Dec 24.

Division of Vascular and Endovascular Surgery, University of Washington, Seattle, Wash.

Objective: The objective of this study was to analyze outcomes of fenestrated-branched endovascular aneurysm repair (F/BEVAR) for treatment of postdissection and degenerative thoracoabdominal aortic aneurysms (TAAAs).

Methods: We reviewed the clinical data of 240 patients with extent I to extent III TAAAs enrolled in seven prospective physician-sponsored investigational device exemption studies from 2014 to 2017. All patients had manufactured off-the-shelf or patient-specific fenestrated-branched stent grafts used to target 888 renal-mesenteric arteries with a mean of 3. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.10.091DOI Listing
December 2019

CT diagnosis of non-traumatic gastrointestinal perforation: an emphasis on the causes.

Jpn J Radiol 2020 Feb 17;38(2):101-111. Epub 2019 Dec 17.

Department of Radiology, Biomedical Research Institute, Pusan National University Hospital, and Pusan National University School of Medicine, 179, Gudeok-ro, Seo-gu, Busan, 49241, Korea.

Gastrointestinal tract (GI) perforations can occur due to various causes such as trauma, iatrogenic factor, infectious condition, peptic ulcer, inflammatory disease, or a neoplasm. Because GI perforations represent an emergency and life-threatening condition, prompt diagnosis and surgical treatment are required in most cases. However, according to the underlying causes of GI perforations, additional treatment strategies may be needed. Read More

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http://dx.doi.org/10.1007/s11604-019-00910-7DOI Listing
February 2020

CT findings in five dogs with surgically confirmed colonic torsion.

Vet Radiol Ultrasound 2020 Mar 14;61(2):190-196. Epub 2019 Dec 14.

Diagnostic Imaging Department, Pride Veterinary Centre, Derby, UK.

Colonic torsion is a life-threatening condition that results in colonic ischemia, necrosis, perforation, sepsis, and eventual death. The aim of this multicenter, retrospective case series study was to describe the CT findings in dogs with surgically confirmed colonic torsion. Medical records were searched for dogs with surgically confirmed colonic torsion following abdominal CT. Read More

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http://dx.doi.org/10.1111/vru.12830DOI Listing
March 2020
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The Impact of Revascularisation on Quality of Life in Chronic Mesenteric Ischemia.

Can J Gastroenterol Hepatol 2019 12;2019:7346013. Epub 2019 Nov 12.

Medisch Spectrum Twente (t.n.v. R.H. Geelkerken, Backoffice Chirurgie B11), Postbus 50.000, 7500 KA, Enschede, Netherlands.

Background: Chronic mesenteric ischemia (CMI) is characterized by long-standing abdominal symptoms due to insufficient mesenteric circulation. Data on the effect of revascularisation on quality of life (QoL) for CMI are scarce. This study is the first to evaluate the impact of revascularisation on quality of life. Read More

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http://dx.doi.org/10.1155/2019/7346013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6874997PMC

Validation of a score chart to predict the risk of chronic mesenteric ischemia and development of an updated score chart.

United European Gastroenterol J 2019 11 4;7(9):1261-1270. Epub 2019 Jun 4.

Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.

Background And Objective: The objective of this article is to externally validate and update a recently published score chart for chronic mesenteric ischemia (CMI).

Methods: A multicenter prospective cohort analysis was conducted of 666 CMI-suspected patients referred to two Dutch specialized CMI centers. Multidisciplinary consultation resulted in expert-based consensus diagnosis after which CMI consensus patients were treated. Read More

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http://dx.doi.org/10.1177/2050640619856765DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826523PMC
November 2019

Superior mesenteric artery endarterectomy for chronic mesenteric ischemia: A viable alternative in poor candidates for endovascular interventions.

Vascular 2020 04 7;28(2):126-131. Epub 2019 Nov 7.

First Department of Surgery, Division of Vascular Surgery, Laiko General Hospital, National Kapodistrian University of Athens, Athens, Greece.

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http://dx.doi.org/10.1177/1708538119887567DOI Listing

Pancreaticoduodenectomy following total occlusion of the superior mesenteric artery: a case report and literature review.

Surg Case Rep 2019 Nov 4;5(1):168. Epub 2019 Nov 4.

Department of Gastroenterology, Aidu Chuo Hospital, 1-1 Tsuruga-machi, Aizuwakamatsu, 965-0011, Japan.

Background: Patients with chronic occlusion of the celiac artery and superior mesenteric artery (SMA) are often asymptomatic, and occlusion may be caused by arteriosclerosis or median arcuate ligament compression. Pancreaticoduodenectomy (PD) is occasionally performed for patients with celiac artery occlusion; however, reports on patients with SMA occlusion are rare. We report a patient with cholangiocarcinoma and total atherosclerotic occlusion of the SMA without preoperative stenting or bypass. Read More

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http://dx.doi.org/10.1186/s40792-019-0718-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6828884PMC
November 2019
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The use of an upper extremity hemodialysis access site for stenting of the superior mesenteric artery for chronic mesenteric ischemia.

J Vasc Surg Cases Innov Tech 2019 Dec 20;5(4):406-409. Epub 2019 Sep 20.

Division of Vascular and Interventional Radiology, Department of Radiology, North Shore University Hospital, Manhasset, NY.

We report the use of an upper extremity hemodialysis access site to facilitate endovascular treatment of the superior mesenteric artery in the setting of chronic mesenteric ischemia. A 64-year-old woman with end-stage renal disease on hemodialysis presented with worsening symptoms associated with chronic mesenteric ischemia. Her left upper extremity interposition graft within the fistula access site was selected to avoid a hostile aortoiliac system and in consideration of the potential benefits it provided over transfemoral, transbrachial, and transradial sites. Read More

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http://dx.doi.org/10.1016/j.jvscit.2019.05.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6806649PMC
December 2019
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Emergency Endovascular Treatment of Coral Reef Aorta with an Unconventional Technique.

Ann Vasc Surg 2020 Feb 14;63:456.e5-456.e9. Epub 2019 Oct 14.

Vascular Surgery Unit, Lancisi Cardiovascular Center, Ancona Italy.

Coral reef aorta (CRA) is a rare condition featured by rock-hard calcifications that grow into the lumen of the thoracoabdominal aorta. Patients suffering from CRA may present severe downstream ischemic and embolic events involving the viscera and the lower limbs. In these patients, open surgical repair is the first choice of treatment. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.07.014DOI Listing
February 2020
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Hybrid Laparoscopic and Endovascular Treatment for Median Arcuate Ligament Syndrome: Case Report and Review of Literature.

Ann Vasc Surg 2020 Feb 14;63:457.e7-457.e11. Epub 2019 Oct 14.

Department of Vascular Surgery, IRCCS Sacro Cuore-Don Calabria, Negrar, VR, Italy.

Median arcuate ligament syndrome is a rare cause of chronic gastrointestinal ischemia caused by compression of median arcuate ligament on the celiac trunk. A 38-year-old male presented at our institution with unspecific crampy abdominal pain. After several diagnostic examinations, he firstly underwent arcuate ligament resection by laparoscopic approach and 2 months later, he underwent percutaneous transluminal angioplasty with stenting of the stenotic vessel. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.08.077DOI Listing
February 2020
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Weight Loss: A Significant Cue To The Diagnosis of Chronic Mesenteric Ischemia.

Cureus 2019 Aug 7;11(8):e5335. Epub 2019 Aug 7.

Internal Medicine, Abington Hospital-Jefferson Health, Abington, USA.

Chronic mesenteric ischemia (CMI) is a condition defined by a state of attenuated blood circulation in the mesenteric vasculature affecting one or more abdominal viscera, and is more common in the female and elderly populations. Amongst the many causes, it occurs most frequently in connection with diffuse atherosclerosis. Its presentation is variable with symptoms such as weight loss, nausea, vomiting, diarrhea and/or constipation, with postprandial pain classically present in the majority of the cases; this, in addition to the chronic course of the disease, makes timely diagnosis a challenge. Read More

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http://dx.doi.org/10.7759/cureus.5335DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6778047PMC
August 2019
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How to manage chronic mesenteric ischemia? A deliberated strategy.

Acta Chir Belg 2020 Feb 11;120(1):1-5. Epub 2019 Oct 11.

CHU Liège, Department of Cardiovascular and Thoracic Surgery, University Hospital Sart-Tilman, Liège, Belgium.

Chronic mesenteric ischemia is a rare and challenging clinical entity with non-specific complaints. It concerns mainly elderly patients with a diffuse atherosclerotic burden affecting other vascular beds. Most surgeons have limited experience with the management of symptomatic occlusive disease of the superior mesenteric artery or coeliac trunk. Read More

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http://dx.doi.org/10.1080/00015458.2019.1675971DOI Listing
February 2020
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Symptom relief in patients undergoing endovascular management of chronic mesenteric ischemia.

Int Angiol 2019 Dec 30;38(6):466-473. Epub 2019 Sep 30.

Leeds Vascular Institute, Leeds General Infirmary, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

Background: Chronic mesenteric ischemia (CMI) is a rare, but potentially fatal condition, which is becoming increasingly prevalent in elderly patients. This study investigated the impact of endovascular intervention on patient symptomology and the influence of extent of mesenteric disease on patient morbidity and mortality.

Methods: All patients who underwent primary angioplasty (±stenting) to the mesenteric vessels for CMI between July 2008 to July 2017 were retrospectively identified. Read More

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http://dx.doi.org/10.23736/S0392-9590.19.04204-4DOI Listing
December 2019

Gastroscopy assisted laser Doppler flowmetry and visible light spectroscopy in patients with chronic mesenteric ischemia.

Scand J Clin Lab Invest 2019 Nov 27;79(7):541-549. Epub 2019 Sep 27.

Department of Vascular Surgery, Oslo University Hospital HF , Oslo , Norway.

Mucosal pathology due to chronic mesenteric ischemia (CMI) is rarely seen during upper endoscopy. Combining Laser Doppler Flowmetry (LDF) and Visible Light Spectroscopy (VLS) may aid in detection of CMI at an early stage. We aimed to investigate the utility of LDF and VLS in detecting microcirculatory changes in patients with CMI during upper endoscopy. Read More

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http://dx.doi.org/10.1080/00365513.2019.1672084DOI Listing
November 2019
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[Endovascular treatment of chronic mesenteric ischemia].

J Med Vasc 2019 Sep 19;44(5):318-323. Epub 2019 Aug 19.

Service de chirurgie cardiovasculaire La Rabta, université de Tunis El Manar, Tunis, Tunisie.

Introduction: Atherosclerosis occurring in the digestive arteries is rare and often asymptomatic. When it becomes symptomatic, surgical care is indicated. Conventional procedures are giving way to improved endovascular techniques applied to the mesenteric arteries. Read More

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http://dx.doi.org/10.1016/j.jdmv.2019.06.001DOI Listing
September 2019
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Current and emerging treatments for sickle cell disease.

JAAPA 2019 Sep;32(9):1-5

At Kettering (Ohio) College, Taylor Monus is a student in the PA program, and Christopher M. Howell is an associate professor. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Sickle cell disease (SCD) is a group of inherited blood disorders affecting the hemoglobin, shortening the lifespan of erythrocytes, and causing them to take on a distinctive sickled shape that can lead to vaso-occlusion. Current treatment aims to reduce morbidity and mortality through hydroxyurea, erythrocyte transfusion, and hematopoietic stem cell transplantation. This article reviews the disease process, typical presentations, complications, and acute and chronic treatment options. Read More

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http://dx.doi.org/10.1097/01.JAA.0000578812.47138.99DOI Listing
September 2019