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Träfflista för sökning "(AMNE:(MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Radiologi och bildbehandling)) srt2:(1995-1999) pers:(Uher Petr) srt2:(1998)"

Search: (AMNE:(MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Radiologi och bildbehandling)) srt2:(1995-1999) pers:(Uher Petr) > (1998)

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  • Nyman, Ulf, et al. (author)
  • Kronisk mesenteriell ischemi. Endovaskulär behandling lika effektiv som öppen kirurgi
  • 1998
  • In: Läkartidningen. - 0023-7205. ; 95:36, s. 3785-3790
  • Journal article (peer-reviewed)abstract
    • Chronic mesenteric ischaemia is a rare but serious condition, which if untreated may cause death secondary to starvation or bowel infarction. As the symptoms are sometimes unspecific, its diagnosis may be delayed or missed. Although open surgical revascularisation has been the traditional treatment, a review of published reports suggests it to be associated with operative mortality rates of 6-9 per cent, and major morbidity rates of 22-26 per cent. Reports by others, and our own experience, suggest that endovascular treatment of mesenteric atherosclerotic obstructions with PTA (percutaneous transluminal angioplasty) and stenting may yield patency rates differing little from those associated with surgery, but significantly lower mortality (1.6%) and morbidity (5.6%).
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2.
  • Nyman, Ulf, et al. (author)
  • Endovascular treatment of chronic mesenteric ischemia: report of five cases
  • 1998
  • In: Cardiovascular and Interventional Radiology. - : Springer Science and Business Media LLC. - 1432-086X .- 0174-1551. ; 21:4, s. 305-313
  • Journal article (peer-reviewed)abstract
    • PURPOSE: To evaluate the midterm results of percutaneous transluminal angioplasty (PTA) and stent placement in stenotic and occluded mesentesic arteries in five consecutive patients with chronic mesenteric ischemia. METHODS: Five patients with 70%-100% obliterations of all mesenteric vessels resulting in chronic mesenteric ischemia (n = 4) and as a prophylactic measure prior to abdominal aortic aneurysm repair (n = 1) underwent PTA of celiac and/or superior mesenteric artery (SMA) stenoses (n = 2), primary stenting of ostial celiac occlusions (n = 2), and secondary stenting of a SMA occlusion (n = 1; recoil after initial PTA). All patients underwent duplex ultrasonography (US) (n = 3) and/or angiography (n = 5) during a median follow-up of 21 months (range 8-42 months). RESULTS: Clinical success was obtained in all five patients. Asymptomatic significant late restenoses (n = 3) were successfully treated with repeat PTA (n = 2) and stenting of an SMA occlusion (n = 1; celiac stent restenosis). Recurrent pain in one patient was interpreted as secondary to postsurgical abdominal adhesions. Two puncture-site complications occurred requiring local surgical treatment. CONCLUSIONS: Endovascular techniques may be attempted prior to surgery in cases of stenotic or short occlusive lesions in patients with chronic mesenteric ischemia. Surgery may still be preferred in patients with long occlusions and a low operative risk.
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  • Result 1-2 of 2
Type of publication
journal article (2)
Type of content
peer-reviewed (2)
Author/Editor
Ivancev, Krassi (2)
Uher, Petr (2)
Nyman, Ulf (2)
Lindh, Mats (2)
Lindblad, Bengt (1)
University
Lund University (2)
Language
Swedish (1)
English (1)
Research subject (UKÄ/SCB)
Medical and Health Sciences (2)
Year
1998 (2)Undo refine

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