Endovascular treatment is effective against acute mesenteric ischemia complicated with metabolic diseases
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Takao Watanabe Yoichi Hiasa Masamoto Torisu Takayuki Shimizu Yasunori Yamamoto Keitaro Kawasaki Naoyuki Higaki Hidehiro Murakami Teru
- چاپ و سال / کشور: 2011
Description
A 77-year-old man with hypertension, diabetes mellitus, ischemic heart disease and a smoking habit presented at our hospital with sudden abdominal pain. Computed tomography indicated edematous swelling and pneumatosis of the intestinal wall in a localized area of the ascending colon with inflamed adipose tissue. Acute mesenteric ischemia was diagnosed. Abdominal angiography showed stenosis of the mesenteric arteries. Virtual histology– intravascular ultrasound imaging indicated a fibrous change in the superior mesenteric artery with a necrotic core. Endovascular treatment with stent placement after percutaneous transluminal angioplasty was effective. Surgery would usually be considered as the first choice for treating patients with acute mesenteric ischemia; however, when this condition is complicated with metabolic diseases, stenotic changes in the mesenteric arteries that would normally be found in patients with chronic mesenteric ischemia need to be considered to ensure optimal treatment.
Clin J Gastroenterol (2011) 4:223–229 Received: 28 February 2011 / Accepted: 10 May 2011 / Published online: 29 June 2011 Springer 2011
