Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 157-164 |
| Number of pages | 8 |
| Journal | Vascular and Endovascular Surgery |
| Volume | 43 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 1 Apr 2009 |
Keywords
- endovascular
- surgical
- chronic mesenteric ischemia
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