Endovascular surgery in treatment of patients with acute impairment of mesenteric circulation in the stage of intestinal ischaemia...
Чернооков А. И., Кузнецов М. Р., Атаян А. А., Иарков С. А., Иванова М. И., Хачатриан É.
Ангиология и сосудистая хирургия
Т. 25, Вып. 1, С. 67-73
Опубликовано: 2019
Тип ресурса: Статья
DOI:10.33529/angio2019109
Аннотация:
Analysed herein are the results of endovascular revascularization of the superior mesenteric artery (SMA). The study included a total of 18 patients with acute impairment of mesenteric circulation in the stage of intestinal ischaemia. The patients underwent multispiral computed tomography (MSCT) and once impairments of blood flow in the SMA were revealed, we performed endovascular revascularization of the artery. Patency of the SMA was assessed by repeat contrast-enhanced MSCT. Thirteen (72.2[%]) patients were found to have occlusion in the system of the SMA and five (27.8[%]) were diagnosed as having significant stenoses of the SMA. All 13 patients with occlusion of the SMA underwent vacuum thrombextraction followed by transluminal balloon angioplasty (TBA). Of these, thrombotic masses were obtained in 11 (84.6[%]) patients. Stents were implanted in 3 cases wherein TBA turned out inefficient. The patients with haemodynamically significant stenoses of the SMA were subjected to TBA followed b
Ключевые слова:
acute impairment of mesenteric circulation; computed tomography; endovascular intervention; mesenteric thrombosis; mesentericography; superior mesenteric artery
endovascular surgery; human; mesenteric blood vessel occlusion; mesenteric ischemia; splanchnic blood flow; stent; superior mesenteric artery; treatment outcome; Endovascular Procedures; Humans; Mesenteric Artery, Superior; Mesenteric Ischemia; Mesenteric Vascular Occlusion; Splanchnic Circulation; Stents; Treatment Outcome
Язык текста: Русский
ISSN: 1027-6661
Чернооков А. И. Александр Иванович 1967-
Кузнецов М. Р.
Атаян А. А. Андрей Александрович 1984-
Иарков С. А.
Иванова М. И.
Хачатриан É. ÉО.
Chernookov A. I. Aleksandr Ivanovich 1967-
Kuznetsov M. R.
Atayan A. A. Andrej Aleksandrovich 1984-
Iarkov S. A.
Ivanova M. I.
Khachatrian É. ÉO.
Endovascular surgery in treatment of patients with acute impairment of mesenteric circulation in the stage of intestinal ischaemia [Éndovaskuliarnaia khirurgiia pri lechenii bol'nykh s ostrym narusheniem mezenterial'nogo krovoobrashcheniia v stadii ishemii kishki]
Endovascular surgery in treatment of patients with acute impairment of mesenteric circulation in the stage of intestinal ischaemia...
Текст визуальный непосредственный
Ангиология и сосудистая хирургия
Российское общество ангиологов и сосудистых хирургов
Т. 25, Вып. 1 С. 67-73
2019
Статья
acute impairment of mesenteric circulation computed tomography endovascular intervention mesenteric thrombosis mesentericography superior mesenteric artery
endovascular surgery human mesenteric blood vessel occlusion mesenteric ischemia splanchnic blood flow stent superior mesenteric artery treatment outcome Endovascular Procedures Humans Mesenteric Artery, Superior Mesenteric Ischemia Mesenteric Vascular Occlusion Splanchnic Circulation Stents Treatment Outcome
Analysed herein are the results of endovascular revascularization of the superior mesenteric artery (SMA). The study included a total of 18 patients with acute impairment of mesenteric circulation in the stage of intestinal ischaemia. The patients underwent multispiral computed tomography (MSCT) and once impairments of blood flow in the SMA were revealed, we performed endovascular revascularization of the artery. Patency of the SMA was assessed by repeat contrast-enhanced MSCT. Thirteen (72.2[%]) patients were found to have occlusion in the system of the SMA and five (27.8[%]) were diagnosed as having significant stenoses of the SMA. All 13 patients with occlusion of the SMA underwent vacuum thrombextraction followed by transluminal balloon angioplasty (TBA). Of these, thrombotic masses were obtained in 11 (84.6[%]) patients. Stents were implanted in 3 cases wherein TBA turned out inefficient. The patients with haemodynamically significant stenoses of the SMA were subjected to TBA followed b