Long-Term Results of Endovascular Treatment of Atherosclerotic Stenoses or Occlusions of the Coeliac and Superior Mesenteric Artery in Patients With Mesenteric Ischaemia

• Published in: European journal of vascular and endovascular surgery Vol. 53; no. 4; pp. 583 - 590
• Main Authors: Bulut, T, Oosterhof-Berktas, R, Geelkerken, R.H, Brusse-Keizer, M, Stassen, E.J, Kolkman, J.J
• Format: Journal Article
• Language: English
• Published: England Elsevier B.V 01-04-2017
• Subjects: Adult; Aged; Aged, 80 and over; Celiac Artery - diagnostic imaging; Celiac Artery - physiopathology; Coeliac artery; Computed Tomography Angiography; Constriction, Pathologic; Databases, Factual; Endovascular procedures; Endovascular Procedures - adverse effects; Endovascular Procedures - instrumentation; Endovascular Procedures - mortality; Female; Humans; Kaplan-Meier Estimate; Male; Mesenteric Artery, Superior - diagnostic imaging; Mesenteric Artery, Superior - physiopathology; Mesenteric ischaemia; Mesenteric Ischemia - diagnostic imaging; Mesenteric Ischemia - mortality; Mesenteric Ischemia - physiopathology; Mesenteric Ischemia - therapy; Mesenteric Vascular Occlusion - diagnostic imaging; Mesenteric Vascular Occlusion - mortality; Mesenteric Vascular Occlusion - physiopathology; Mesenteric Vascular Occlusion - therapy; Middle Aged; Retrospective Studies; Splanchnic Circulation; Stents; Superior mesenteric artery; Surgery; Time Factors; Treatment Outcome; Ultrasonography, Doppler, Duplex; Vascular Patency; Young Adult; Coeliac artery; Mesenteric ischaemia; Superior mesenteric artery; Endovascular procedures; Vascular patency
• ISSN: 1078-5884; 1532-2165
• DOI: 10.1016/j.ejvs.2016.12.036

Introduction Over the past decade, primary percutaneous mesenteric artery stenting (PMAS) has become an alternative to open revascularisation for treatment of mesenteric ischaemia. Institutes have presented favourable short-term outcomes after PMAS, but there is a lack of data on long-term stent patency. Methods One hundred and forty-one patients treated by PMAS for acute and chronic mesenteric ischaemia over an 8 year period were studied. Anatomical success was assessed by duplex ultrasound and/or CT angiography. A stenosis ≥70% was considered to be a failure. Results Eighty-six coeliac arteries (CA) and 99 superior mesenteric arteries (SMA) were treated with PMAS in 141 patients. Nine CAs (10%) and 30 SMAs (30%) were occluded at the time of treatment. Median follow-up was 32 months (IQR 20–46). The overall primary patency rate at 12 and 60 months was 77.0% and 45.0%. The overall primary assisted patency rate was 90.3% and 69.8%. Overall secondary patency was 98.3% and 93.6%. Conclusion This study shows excellent long-term secondary patencies after PMAS, comparable with published data on long-term patencies after open surgical revascularisation.