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Chronic mesenteric ischemia: Diagnosis and management.
- Source :
-
Progress in cardiovascular diseases [Prog Cardiovasc Dis] 2021 Mar-Apr; Vol. 65, pp. 71-75. Date of Electronic Publication: 2021 Apr 24. - Publication Year :
- 2021
-
Abstract
- Chronic mesenteric ischemia (CMI) is an uncommon, potentially underdiagnosed clinical condition. Although there is a high prevalence of mesenteric artery stenoses (MAS), an abundant collateral network in the mesenteric circulation mitigates occurrence of ischemia. The most common etiology of CMI is atherosclerosis. CMI is a clinical diagnosis, based upon typical and atypical symptoms and consistent anatomic findings. Typical symptoms of CMI are postprandial abdominal pain, unintended weight loss and food avoidance. The main modalities to diagnose MAS are duplex ultrasound, CT angiography or MR angiography, although high resolution CTA is preferred. Endovascular therapy with balloon expandable stents has become the preferred treatment for MAS.<br />Competing Interests: Declaration of Competing Interest None.<br /> (Copyright © 2021 Elsevier Inc. All rights reserved.)
- Subjects :
- Chronic Disease
Constriction, Pathologic
Humans
Incidence
Mesenteric Arteries diagnostic imaging
Mesenteric Arteries physiopathology
Mesenteric Ischemia diagnostic imaging
Mesenteric Ischemia epidemiology
Mesenteric Ischemia physiopathology
Mesenteric Vascular Occlusion diagnostic imaging
Mesenteric Vascular Occlusion epidemiology
Mesenteric Vascular Occlusion physiopathology
Prevalence
Stents
Treatment Outcome
Vascular Patency
Angioplasty, Balloon adverse effects
Angioplasty, Balloon instrumentation
Endarterectomy adverse effects
Mesenteric Arteries surgery
Mesenteric Ischemia therapy
Mesenteric Vascular Occlusion therapy
Vascular Grafting adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1873-1740
- Volume :
- 65
- Database :
- MEDLINE
- Journal :
- Progress in cardiovascular diseases
- Publication Type :
- Academic Journal
- Accession number :
- 33901516
- Full Text :
- https://doi.org/10.1016/j.pcad.2021.03.002