Allegritti, M

Bruni, A

Fanelli, F

Fiengo, L

Paciotti, C

Patrizi, G

Pucci, A

Redler, A

Venturini, L

English

PubMed

L Fiengo

C Paciotti

G Patrizi

L Venturini

A Pucci

F Fanelli

A Bruni

M Allegritti

A Redler

Springer - Publisher Connector

MEETING ABSTRACT Open Access
Endovascular repair for acute mesenteric
ischemia: case report
L Fiengo1*, C Paciotti1, G Patrizi1, L Venturini1, A Pucci2, F Fanelli2, A Bruni2, M Allegritti2, A Redler1
From XXIII Annual Meeting of the Italian Society of Geriatric Surgery
Lecce, Italy. 2-4 December 2010
Background
Acute mesenteric ischemia (AMI) is an abdominal
emergency caused by: embolism (40-50%), with Superior
Mesenteric Artery (SMA) thrombosis (20-25%), mesen-
teric venous thrombosis (5%) and non occlusive mesen-
teric ischemia (20%). The mortality rate is high and
ranges from 64 to 93%.
Methods
We present a case of a 75-year-old patient with acute
occlusive mesenteric ischemia that was successfully trea-
ted with endovascular intervention.
Angiography revealed high-grade stenosis of the proxi-
mal tract of the SMA. Immediate option for endovascu-
lar therapy was made, and a MARIS self-expandable
6x40 mm stent was positioned. The patient was dis-
charged 2 days after with full recovery from the
symptoms.
Results
Control angiography showed the correct apposition of
the stent and regular flow inside. The patient was symp-
tom free 12 months later.
Conclusions
We suggest that the endovascular technique is a valid
option in patients with AMI preventing intestinal
infarction.
Author details
1Department of Vascular and General Surgery, Faculty of Medicine “La
Sapienza”, Roma, Italy. 2Department of Vascular and Interventional Radiology,
Faculty of Medecine “La Sapienza”, Roma, Italy.
* Correspondence: lesliefiengo@hotmail.com
1Department of Vascular and General Surgery, Faculty of Medicine “La
Sapienza”, Roma, Italy
Full list of author information is available at the end of the article
Figure 1 A) Preoperative angiography. B) Angiography with stent
apposition
Fiengo et al. BMC Geriatrics 2011, 11(Suppl 1):A17
http://www.biomedcentral.com/1471-2318/11/S1/A17
© 2011 Fiengo et al; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons
Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in
any medium, provided the original work is properly cited.
Published: 24 August 2011
References
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doi:10.1186/1471-2318-11-S1-A17
Cite this article as: Fiengo et al.: Endovascular repair for acute
mesenteric ischemia: case report. BMC Geriatrics 2011 11(Suppl 1):A17.
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Fiengo et al. BMC Geriatrics 2011, 11(Suppl 1):A17
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Page 2 of 2


Endovascular repair for acute mesenteric ischemia: case report

Allegritti M

Bruni A

Fanelli F

Pucci A

Venturini L

Patrizi G

Paciotti C

Fiengo L

Redler A

Directory of Open Access Journals

BMC Geriatrics

L. Fiengo

C. Paciotti

G. Patrizi

VENTURINI, LUIGI

A. Pucci

F. Fanelli

A. Bruni

M. Allegritti

REDLER, Adriano

Archivio della ricerca- Università di Roma La Sapienza

Cambria RP: Intermediate-outcomes of endovascular treatment for symptomatic chronic mesenteric ischemia. J Vasc Surg

de Vries PM JP: Percutaneous transluminal angioplasty and stenting as first-choice treatment is patients with chronic mesenteric ischemia. J Vasc Surg

Endovascular Treatment of Chronic Mesenteric Ischemia: report of Five Cases. Cardiovasc Intervent Radiol

Memis A: Acute mesenteric ischemia: endovascular therapy. Abdom Imaging

Memis A: Stent Implantation in Chronic Mesenteric Ischemia. Acta Radiol

RP: Surgical revascularization versus endovascular therapy for chronic mesenteric ischemia: a comparative experience. J Vasc Surg

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Endovascular repair for acute mesenteric ischemia: case report

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