Surgical Versus Endolvascular Reconstruction for Chronic Mesenteric Ischemia: A Contemporary UK Series

Research output: Contribution to journalArticle

Authors

  • RSM Davies
  • ML Wall
  • Stanley Silverman
  • Malcolm Simms
  • RK Vohra

Colleges, School and Institutes

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.

Details

Original languageEnglish
Pages (from-to)157-164
Number of pages8
JournalVascular and Endovascular Surgery
Volume43
Issue number2
Publication statusPublished - 1 Apr 2009

Keywords

  • endovascular, surgical, chronic mesenteric ischemia