Abdominal Angina Treated by Urgent Percutaneous Angioplasty: An Excellent Alternative to Surgical Revascularisation

Chronic Mesenteric Ischemia (CMI) presenting as acute abdomen can be treated percutaneously. An endovascular intervention has surpassed surgical revascularization over the past decade due to its lesser perioperative complication rate. Trans-femoral approach of revascularising is limited by its diffi...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical and diagnostic research 2016-11, Vol.10 (11), p.OD03-OD04
Main Authors: Kamana, Vamsi Krishna, Shetty, Ranjan, Krishnan, Anand M, Rao, M Sudhakar, Malpe, Umesh Pai
Format: Article
Language:English
Subjects:
brachial artery
chronic mesenteric ischemia
inferior mesenteric artery
Internal Medicine Section
superior mesenteric artery
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Chronic Mesenteric Ischemia (CMI) presenting as acute abdomen can be treated percutaneously. An endovascular intervention has surpassed surgical revascularization over the past decade due to its lesser perioperative complication rate. Trans-femoral approach of revascularising is limited by its difficulty in coaxial alignment of the guiding catheter and hence, brachial artery and recently the radial approach have been utilized for mesenteric artery revascularisation for over a decade. Here by we report a case of chronic mesenteric ischemia having total occlusion of two and 70% occlusion of one of the three mesenteric vessels. The patient had presented with acute abdomen which in turn was percutaneously revascularised via the left brachial artery for the two major abdominal visceral vessels being superior mesenteric artery and inferior mesenteric artery.
ISSN:2249-782X
0973-709X
DOI:10.7860/JCDR/2016/20577.8779