Stent placement with the monorail technique for treatment of mesenteric artery stenosis

Journal of Vascular and Interventional Radiology : JVIR
Philipp J SchaeferStefan Mueller-Huelsbeck

Abstract

To analyze the immediate and midterm success of stenting of mesenteric arteries by a monorail technique in patients with chronic mesenteric ischemia. In this prospective case series, 19 patients (11 male, 8 female; mean age, 62.9 +/- 10.4 y; range, 36-82 y) with 23 symptomatic stenoses of mesenteric arteries were treated with stent placement by a monorail technique in a radiologic intervention center over a period of 4.5 years. Clinical examinations and duplex sonography were used to evaluate the stents' patency and clinical success. Kaplan-Meier graphs were calculated to analyze the patency and freedom-from-symptom rate. Initial technical success rate was 22/23 (96%). Mean follow-up was 17 months (range, 1-58 mo). Primary patency and primary clinical success rates were 82% and 78%, respectively. According to Kaplan-Meier tables, the patency rates were 96%, 87%, 76%, and 61% at 0, 1, 15, and 24 months, respectively, and the freedom-from-symptom rates were 95%, 90%, 72%, and 54% at 0, 1, 24, and 30 months, respectively. No peri-interventional complications occurred. Two patients died of cardiac failure in the hospital within 30 days after intervention; deaths were not related to the intervention. Stent placement by a monorail te...Continue Reading

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Citations

Sep 7, 2006·Abdominal Imaging·Philipp J SchaeferThomas Jahnke
Dec 7, 2007·Cardiovascular and Interventional Radiology·Armand DaliriJens J Froelich
Aug 22, 2007·Cardiovascular and Interventional Radiology·Thomas JahnkeStefan Müller-Hülsbeck
Oct 24, 2007·Cardiovascular and Interventional Radiology·Michael MooreMichael Guiney
May 5, 2011·International Journal of Colorectal Disease·Eike Sebastian DebusAxel Larena-Avellaneda
Sep 16, 2010·Current Treatment Options in Cardiovascular Medicine·Gustavo S Oderich
Feb 19, 2008·Cardiology in Review·William H FrishmanGrigory Rozenblit
Sep 3, 2013·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Shashidhar Kallappa ParameshwarappaMadathipat Unnikrishnan
Feb 14, 2013·Primary Care·Jose A Silva, Christopher J White
Nov 3, 2010·Annals of Vascular Surgery·Rafael D MalgorPeter Gloviczki
Jun 23, 2009·Annals of Vascular Surgery·Timothy M SullivanJoseph J Ricotta
Mar 18, 2008·Journal of Vascular and Interventional Radiology : JVIR·Philipp J SchaeferThomas Jahnke
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Aug 5, 2010·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Prateek K GuptaIraklis I Pipinos

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