scholarly journals Endovascular Treatment of Mesenteric Ischaemia

2019 ◽  
Vol 9 (3) ◽  
pp. 239-241
Author(s):  
M. O. Loginov ◽  
L. S. Kokov ◽  
M. A. Nartaylakov ◽  
N. R. Chernaya ◽  
M. V. Loginova
Keyword(s):  
Endovascular Treatment ◽  
Clinical Case ◽  
Celiac Trunk ◽  
Transluminal Angioplasty ◽  
Mesenteric Arteries ◽  
Mesenteric Ischaemia ◽  
Visceral Arteries ◽  
Internal Iliac ◽  
Angioplasty And Stenting ◽  
Percutaneous Transluminal

Chronic mesenteric ischaemia constitutes a condition characterised by a decreased abdominal blood flow, which is caused by the obstruction of visceral arteries. This short communication paper presents a clinical case of endovascular treatment in a patient with the obstruction of the celiac trunk, superior and inferior mesenteric arteries. Intestinal blood supply was provided through collaterals from the system of internal iliac veins via the inferior mesenteric artery, the arc of Riolan. This clinical case confirmed that percutaneous transluminal angioplasty and stenting of the visceral arteries is the method of choice in the surgical treatment of abdominal angina.

scholarly journals Percutaneous transluminal angioplasty and stenting for recurrent carotid artery stenosis

1998 ◽  
Vol 5 (6) ◽  
pp. E7
Author(s):  
Giuseppe Lanzino ◽  
Robert A. Mericle ◽  
Demetrius K. Lopes ◽  
Ajay K. Wakhloo ◽  
Lee R. Guterman ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenosis ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Artery Stenosis ◽  
Cardiac Complications ◽  
Neurological Event ◽  
Angioplasty And Stenting ◽  
Percutaneous Transluminal

Percutaneous transluminal angioplasty (PTA) and stenting has recently been proposed as an alternative to surgical reexploration in patients with recurrent carotid artery stenosis following endarterectomy. The authors retrospectively reviewed their experience after performing 25 procedures in 21 patients to assess the safety and efficacy of PTA with or without stenting for carotid artery restenosis. The mean interval between endarterectomy and the endovascular procedure was 57 months (range 8-220 months). Seven arteries in five patients were treated by PTA alone (including bilateral procedures in one patient and repeated angioplasty in the same vessel in another). Early suboptimum results and recurrent stenosis in some of these initial cases prompted the authors to combine PTA with stenting in the treatment of 18 arteries over the past 3 years. No major periprocedural deficits (neurological or cardiac complications) or death occurred. There was one periprocedural transient neurological event. A pseudoaneurysm of the femoral artery (at the access site) required surgical repair. In the 16 patients who each underwent at least 6 months of follow-up review, no neurological events ipsilateral to the treated artery had occurred after a mean follow-up period of 27 months (range 6-57 months). Three of five patients who underwent PTA alone developed significant (> 50%) asymptomatic restenoses that required repeated angioplasty in one and PTA with stenting in two patients. Significant restenosis (55%) was observed in only one of the vessels treated by combined angioplasty with stenting. Endovascular PTA and stenting of recurrent carotid artery stenosis is both technically feasible and safe and has a satisfactory midterm patency. This procedure can be considered a viable alternative to surgical reexploration in patients with recurrent carotid artery stenosis.

scholarly journals Surgical treatment of Dunbar syndrome

2013 ◽  
Vol 12 (1) ◽  
pp. 57-61 ◽  
Author(s):  
Luís Henrique Gil França ◽  
Carla Mottin
Keyword(s):  
Clinical Condition ◽  
Epigastric Pain ◽  
Celiac Trunk ◽  
Celiac Artery ◽  
Transluminal Angioplasty ◽  
Celiac Artery Compression Syndrome ◽  
Extrinsic Compression ◽  
Arcuate Ligament ◽  
Dunbar Syndrome ◽  
Angioplasty And Stenting

Dunbar syndrome or celiac artery compression syndrome is an infrequently described clinical condition with poorly defined diagnostic criteria and an obscure pathophysiology. It is usually associated with an extrinsic compression upon the celiac axis near its takeoff from the aorta by fibrous diaphragmatic bands or sympathetic neural fibers. The authors report the case of a 70-year-old male patient presenting with nausea, epigastric pain, and weight loss. An aortography showed a compression of the celiac trunk. A preliminary attempt at percutaneous transluminal angioplasty and stenting proved unsuccessful. The patient became asymptomatic and his clinical condition improved after surgical release of the celiac trunk by partial section of the arcuate ligament of the diaphragm and with resection of the neural, fibrotic, and lymphatic tissues surrounding the aortic and visceral vessels. The purpose of this report is to discuss the indications and the therapeutic options of this syndrome.

scholarly journals Clinical Results and Problems of Percutaneous Transluminal Angioplasty and Stenting for Extracranial Internal Carotid Stenoses

2001 ◽  
Vol 7 (1_suppl) ◽  
pp. 41-44
Author(s):  
M. Tsuura ◽  
T. Terada ◽  
O. Masuo ◽  
H. Matsumoto ◽  
T. Itakura ◽  
...  
Keyword(s):  
Internal Carotid ◽  
Balloon Catheter ◽  
Clinical Results ◽  
Transluminal Angioplasty ◽  
Symptomatic Case ◽  
Carotid Stenoses ◽  
Angioplasty And Stenting ◽  
Ica Stenosis ◽  
Percutaneous Transluminal ◽  
Extracranial Ica

110 patients with extracranial ICA stenosis were treated by PTA or stenting. In 21 of 55 cases of only PTA and in 40 of 55 cases of stenting, we used our blocking balloon systems to prevent distal embolism. The morbidity and the mortality rates were 5.4% and 0%, respectively. There was only one embolic complication in cases of PTA or stenting where blocking balloon systems were used. In contrast, distal embolism occurred in 3 of 34 cases of PTA without blocking balloon systems (one symptomatic case) and in 4 of 15 cases of stenting without blocking balloon systems (3 symptomatic cases). Our blocking balloon catheter system is a useful device to reduce the risk of symptomatic distal embolism.

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