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
...iagnosis...
...tients with abdominal pain, weight...
...aking a diagnosis of CMI in patien...
...nd using the mesenteric duplex ultrasound exa...
...sing CT arteriography (CTA) as the preferr...
Treatment
...atment...
...ions for Treatment
We recommend revascularization in patients wi...
...that total parenteral nutrition is...
...that the SMA is the primary target for revascular...
...at the celiac axis and inferior mesente...
...tients with symptoms consistent wi...
...patients with symptoms consistent wit...
...recommend that asymptomatic patien...
...nts with severe MAOD involving the SMA undergoing...
...with combined MAOD and mesenteric...
...ce of Treatment...
...choice of treatment for patients with...
...endovascular revascularization as th...
...d reserving open surgical revasculariz...
...reoperative Evaluat...
...undergoing revascularization for CMI...
...mend obtaining a CTA to delineate the vascu...
...ar Revascularization...
...st using balloon-expandable covered intralum...
...gical Revascularization...
...ice of open surgical revasculariza...
Follow-up
...low-up...
...nce and Remediation...
...ergoing revascularization for CMI should be edu...
...ents should be followed in the outp...
...t surveillance with mesenteric duplex ultrasoun...
...nd performing a CTA or catheter-bas...
...n patients with recurrent symptoms of CMI, we reco...
...ect patients with asymptomatic recurrent st...
...t that the choice of revascularization for recurre...