Endovascular therapy for chronic XXXX .

@entity1 @entity5327 @entity256
OBJECTIVES: We sought to describe the outcomes of a consecutive series of @entity1 with chronic @entity5327 (CMI) who were treated with percutaneous stent revascularization. BACKGROUND: Historically, the treatment for CMI has been surgical revascularization. However, surgery carries a significant procedural complication rate and mortality. METHODS: Fifty-nine consecutive @entity1 with CMI underwent stent placement in 79 stenotic (>70%) mesenteric arteries. All @entity1 had clinical follow-up and 90% had anatomical follow-up with angiography (computed tomography or conventional) or ultrasound at > or =6 months after the procedure. RESULTS: Procedural success was obtained in 96% (76 of 79 arteries) and symptom relief occurred in 88% (50 @entity1 ). At a mean follow-up of 38 +/- 15 months (range, 6 to 112 months), 79% of the @entity1 remained alive, and 17% (n = 10) experienced a recurrence of symptoms. Angiography or ultrasound obtained at 14+/- 5 months after the procedure demonstrated a restenosis rate of 29% (n = 20). All @entity1 with recurrent symptoms had @entity256 and were successfully revascularized percutaneously. CONCLUSIONS: Percutaneous stent placement for the treatment of CMI can be performed with a high procedural success and a low complication rate. The long-term freedom from symptoms and vascular patency are comparable with surgical results. The inherent lower procedural morbidity and mortality makes the endovascular approach the preferred revascularization technique for these @entity1 .
