Visceral Artery Interventions in XXXX .

@entity101 @entity63 @entity75 @entity2792 @entity2791 @entity102 @entity12040 @entity439 @entity432 @entity850
@entity12040 is an @entity102 affecting the aorta, its major branches and the pulmonary arteries. It leads to @entity850 , @entity432 , dilatation, and @entity439 formation in the involved vessels. Visceral arterial involvement occurs in 11 to 68% cases. @entity75 are most commonly seen and are usually symptomatic. Dilative and @entity75 are uncommon and, when present, are usually clinically silent. Renal arteries are most commonly involved (24 to 68%), resulting in @entity2792 , whereas mesenteric arterial involvement is seen in 11 to 28% cases and is usually clinically silent. The assessment of disease activity is of utmost importance in its management as revascularization is best performed in the inactive phase. The disease activity can be assessed by clinical, biochemical, or radiological markers. The primary objectives of treatment include the control of disease activity by drug therapy, pharmacologic control of blood pressure (BP), supportive management and revascularization (surgical or endovascular) of the symptomatic @entity63 territory. Surgical treatment is challenging due to the diffuse nature of the disease and involvement of adjacent aortic walls. It has a high incidence of anastomotic @entity439 formation (12 to 14%) and graft failure (20 to 40%) over time. Endovascular therapy (usually in the form of balloon angioplasty) has specific technical and procedural issues, but is safe and effective in the control of @entity101 with success rates ranging between 80 to 96%. The overall complication rates are low. The cumulative 5-year patency rate for the management of @entity2791 is 67%. The use of stents is usually restricted as a bailout to treat obstructive dissection after angioplasty, due to a variety of reasons as their use may adversely affect the long-term outcome of treatment. Angioplasty is less effective in relieving obstruction in the mesenteric arteries and the outcomes are also infrequently reported.
