TY - JOUR
T1 - Surgical Versus Endolvascular Reconstruction for Chronic Mesenteric Ischemia: A Contemporary UK Series
AU - Davies, RSM
AU - Wall, ML
AU - Silverman, Stanley
AU - Simms, Malcolm
AU - Vohra, RK
AU - Bradbury, Andrew
AU - Adam, Donald
PY - 2009/4/1
Y1 - 2009/4/1
N2 - Objective: To assess the outcome of surgical (SR) and endovascular (ER) reconstruction for chronic mesenteric ischemia (CMI). Methods: Retrospective review of consecutive patients Who underwent SR or ER for CMI in 3 UK vascular surgery units between 1996 and 2006. Early (30 days) outcomes (symptom recurrence, vessel/graft patency, reintervention, mortality) were assessed. Results: A total of 27 patients underwent 32 reconstructions (SR = 17, ER = 15). A total of 44 of 56 (79%) diseased arteries underwent SR (n = 26; bypass = 24, reimplantation = 2; occlusion = 16, stenosis = 10) or ER mortality for SR and ER was 6% and 0%, respectively (P > .99). Hospital stay was shorter following ER (mean, 4.3 vs. 14.2 clays, P = .0003). Mean (range) follow-up for SR and ER was 34 (1-94) and 34 (0-135) months, respectively. At 2 years, SR demonstrated superior secondary patency (100% vs. 65%) and clinical patency (100% vs. 73%). Conclusions: Surgical mesenteric reconstruction is associated with significantly longer hospital stay, but superior long-term Outcome compared to endovascular reconstruction.
AB - Objective: To assess the outcome of surgical (SR) and endovascular (ER) reconstruction for chronic mesenteric ischemia (CMI). Methods: Retrospective review of consecutive patients Who underwent SR or ER for CMI in 3 UK vascular surgery units between 1996 and 2006. Early (30 days) outcomes (symptom recurrence, vessel/graft patency, reintervention, mortality) were assessed. Results: A total of 27 patients underwent 32 reconstructions (SR = 17, ER = 15). A total of 44 of 56 (79%) diseased arteries underwent SR (n = 26; bypass = 24, reimplantation = 2; occlusion = 16, stenosis = 10) or ER mortality for SR and ER was 6% and 0%, respectively (P > .99). Hospital stay was shorter following ER (mean, 4.3 vs. 14.2 clays, P = .0003). Mean (range) follow-up for SR and ER was 34 (1-94) and 34 (0-135) months, respectively. At 2 years, SR demonstrated superior secondary patency (100% vs. 65%) and clinical patency (100% vs. 73%). Conclusions: Surgical mesenteric reconstruction is associated with significantly longer hospital stay, but superior long-term Outcome compared to endovascular reconstruction.
KW - endovascular
KW - surgical
KW - chronic mesenteric ischemia
U2 - 10.1177/1538574408328665
DO - 10.1177/1538574408328665
M3 - Article
C2 - 19088131
SN - 1938-9116
VL - 43
SP - 157
EP - 164
JO - Vascular and Endovascular Surgery
JF - Vascular and Endovascular Surgery
IS - 2
ER -