Kamana, Vamsi Krishna and Kareem, Hashir and Devasia, Tom and Nayak, Vidya and Prabhu, Sridevi (2016) Percutaneous Angioplasty for a case of Chronic Mesenteric Ischemia: an Alternative to Surgical Revascularisation. International Journal of Current Research and Review, 8 (7). pp. 34745-34747. ISSN 0975-5241

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Abstract

Chronic Mesenteric Ischemia is a manifestation of atherosclerottic disease in the mesenteric blood vesselss. It can be treated percutaneously. And the endovascular intervention of mesenteric blood vesselss has surpassed surgical revascularisation over the past deccade due to its lesser peri operative compliication rate. Trans-femoral approach of revascularising is limited by its difficulty in coaxial alignm ent of the guiding catheter and hence brachial artery and recently the Radial approach have been utilized for mesenteric artery revascularisation for over a decade. We presented a case of abdominal angina which had developed in an elderly 74 yearrs male with an associated severe abdominal aortic disease, finally treated by angioplasty. Both Celiac artery and Superior mesenteric artery are stented with same sized 6 X 24 mm Stents. Percutaneous revascularisation via the left brachial artery for the two major abdominal visceral vessels was hiigh lightened in this case.

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