BACKGROUND: The aim of our study was to evaluate and compare short- and long-term outcomes of percutaneous angioplasty and open revascularization for chronic intestinal ischemia. MATERIALS AND METHODS: Twenty-nine consecutive patients undergoing percutaneous angioplasty (n = 14) or open revascularization (n = 15) for chronic intestinal ischemia were prospectively studied from 2000 to 2006. All patients were symptomatic with at least thrombosis or 80% stenosis of superior mesenteric artery. RESULTS: No patient was lost to follow-up. Patients were older in percutaneous angioplasty than in the open revascularization group (p = 0.0009). Open revascularization allowed to revascularize more vessels (1.4 versus 1, p = 0.01). There was no difference between groups regarding major complications, mortality, hospital length of stay, and symptomatic recurrence. Primary re-stenosis was only observed in three patients (21.4%) in the percutaneous angioplasty group. Survival at 2 years estimated by the Kaplan-Meier method was 58% in the percutaneous angioplasty group and 70% in the open revascularization group (p = NS). CONCLUSION: Percutaneous angioplasty should be preferentially offered to older patients and those unable to undergo open revascularization.
BACKGROUND: The aim of our study was to evaluate and compare short- and long-term outcomes of percutaneous angioplasty and open revascularization for chronic intestinal ischemia. MATERIALS AND METHODS: Twenty-nine consecutive patients undergoing percutaneous angioplasty (n = 14) or open revascularization (n = 15) for chronic intestinal ischemia were prospectively studied from 2000 to 2006. All patients were symptomatic with at least thrombosis or 80% stenosis of superior mesenteric artery. RESULTS: No patient was lost to follow-up. Patients were older in percutaneous angioplasty than in the open revascularization group (p = 0.0009). Open revascularization allowed to revascularize more vessels (1.4 versus 1, p = 0.01). There was no difference between groups regarding major complications, mortality, hospital length of stay, and symptomatic recurrence. Primary re-stenosis was only observed in three patients (21.4%) in the percutaneous angioplasty group. Survival at 2 years estimated by the Kaplan-Meier method was 58% in the percutaneous angioplasty group and 70% in the open revascularization group (p = NS). CONCLUSION: Percutaneous angioplasty should be preferentially offered to older patients and those unable to undergo open revascularization.
Authors: Jesus G Jimenez; Thomas S Huber; C Keith Ozaki; Timothy C Flynn; Scott A Berceli; W Anthony Lee; James M Seeger; Javier G Jimenez Journal: J Vasc Surg Date: 2002-06 Impact factor: 4.268
Authors: Mark S Landis; Dheeraj K Rajan; Martin E Simons; Eran B Hayeems; John R Kachura; Kenneth W Sniderman Journal: J Vasc Interv Radiol Date: 2005-10 Impact factor: 3.464
Authors: Marvin D Atkins; Christopher J Kwolek; Glenn M LaMuraglia; David C Brewster; Thomas K Chung; Richard P Cambria Journal: J Vasc Surg Date: 2007-04-30 Impact factor: 4.268
Authors: Ulku Cenk Turba; Wael E Saad; Bulent Arslan; Saher S Sabri; Stacey Trotter; John F Angle; Klaus D Hagspiel; John A Kern; Kenneth J Cherry; Alan H Matsumoto Journal: Eur Radiol Date: 2012-02-03 Impact factor: 5.315
Authors: Philippe Zerbib; Céline Perot; Marc Lambert; Mohamad Seblini; François René Pruvot; Jean Pierre Chambon Journal: Langenbecks Arch Surg Date: 2009-07-09 Impact factor: 3.445