Endovascular treatment of a patient with chronic abdominal ischemia syndrome: a clinical case

Chronic abdominal ischemia syndrome (CAIS) is most often manifested by postprandial abdominal pain, weight loss and dyspeptic symptoms (diarrhea/constipation, flatulence). Due to the fact that such manifestations are characteristic of many diseases of the gastrointestinal tract, and the data of laboratory and instrumental methods during routine examination are nonspecific, this leads to a late diagnosis of CAI. An important role in the timely diagnosis of this pathology is given to such examination methods as Doppler ultrasound, multislice computed tomography, magnetic resonance imaging and/or angiography of the abdominal aorta and its branches. The etiological factors in the development of CAIS are different, but one should think about atherosclerotic genesis if the patient has the above complaints, the absence of the effect of the therapy, and the presence of risk factors for the development of atherosclerosis or already existing atherosclerotic lesions of other circulation systems. In the last decade, endovascular methods have become more often used in the treatment of such patients, but the lack of criteria for the implementation or contraindications to the use of this technique, the features of management in the postoperative period make it difficult to use them in routine practice.