Endovascular treatment of a patient with chronic abdominal ischemia syndrome: a clinical case
- 作者: Bykova E.G.1, Zakharova O.V.1, Platonava N.A.1
-
隶属关系:
- North-Western State Medical University n.a. I.I. Mechnikov
- 期: 卷 30, 编号 14 (2023)
- 页面: 100-105
- 栏目: Cardiology
- URL: https://journals.eco-vector.com/2073-4034/article/view/626255
- DOI: https://doi.org/10.18565/pharmateca.2023.14.100-105
- ID: 626255
如何引用文章
详细
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.
全文:
作者简介
Elena Bykova
North-Western State Medical University n.a. I.I. Mechnikov
编辑信件的主要联系方式.
Email: bykovaelenag@mail.ru
ORCID iD: 0000-0001-9902-2338
Cand. Sci. (Med.), Associate Professor at the Department of Faculty Therapy
俄罗斯联邦, St. PetersburgO. Zakharova
North-Western State Medical University n.a. I.I. Mechnikov
Email: bykovaelenag@mail.ru
ORCID iD: 0000-0002-6878-2550
俄罗斯联邦, St. Petersburg
N. Platonava
North-Western State Medical University n.a. I.I. Mechnikov
Email: bykovaelenag@mail.ru
ORCID iD: 0000-0002-6755-0600
俄罗斯联邦, St. Petersburg
参考
- Terlouw L.G., Moelker A., Abrahamsen J. European guidelines on chronic mesenteric ischaemia – joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric ischaemia. United European Gastroenterol J. 2020;8(4):371–95. doi: 10.1177/205064062091668.
- Sardar P., White C.J. Chronic mesenteric ischemia: Diagnosis and management. Prog Cardiovasc Dis. 2021;65:71–75. doi: 10.1016/j.pcad.2021.03.002.
- Huber T.S., Bjorck M., Chandra A., et al. Chronic mesenteric ischemia: Clinical practice guidelines from the Society for Vascular Surgery. J Vasc Surg. 2021;73(1S):87S–115S. doi: 10.1016/j.jvs.2020.10.029.
- Бархатов И.В., Бархатова Н.А. Клинико-сонографические принципы диагностики висцералгии и висцеропатии органов пищеварения ангиогенной и воспалительной природы. Практическая медицина. 2018;1(112):90–5. [Barkhatov I.V., Barkhatova N.A. Clinical and sonographic principles of diagnosing visceralgia and visceropathy of the digestive organs of angiogenic and inflammatory nature. Prakticheskaya meditsina. 2018;1(112):90–5. (In Russ.)].
- Звенигородская Л.А., Самсонова Н.Г., Топор-ков А.С. Хроническая ишемическая болезнь органов пищеварения: алгоритм диагностики и лечение. Фарматека. 2010;2(196):78–82. [Zvenigorodskaya L.A., Samsonova N.G., Toporkov A.S. Chronic ischemic disease of the digestive system: diagnostic algorithm and treatment. Farmateka. 2010;2(196):78–82. (In Russ.)].
- Репникова Р.В., Штарк А.Э. Эрозивно-язвенный вариант хронической ишемической болезни органов пищеварения. Фундаментальная и клиническая медицина. 2019;4(1):100–5. [Repnikova R.V., Shtark A.E. Erosive and ulcerative variant of chronic ischemic disease of the digestive system. Fundamental’naya i klinicheskaya meditsina. 2019;4(1):100–5. (In Russ.)]. doi: 10.23946/2500-0764-2019-41-100-105.
- Богатырев В.Г., Маринчук А.Т., Гасанов М.З. и др. Хроническая ишемическая болезнь органов пищеварения: диагностические проблемы и их решение. Медицинский вестник северного Кавказа. 2017;12(4):366–69. [Bogatyrev V.G., Marinchuk A.T., Gasanov M.Z., et al. Chronic ischemic disease of the digestive system: diagnostic problems and their solution. Meditsinskii vestnik severnogo Kavkaza. 2017;12(4):366–69. (In Russ.)]. doi: 10.14300/mnnc.2017.12102.
- Федотова Е.В., Попов В.А. Хроническая ишемия толстой кишки (обзор литературы). Экология человека. 2016;23(6):47–54. [Fedotova E.V., Popov V.A. Chronic ischemia of the colon (literature review). Ekologiya cheloveka. 2016;23(6):47–54. (In Russ.)]. doi: 10.33396/1728-0869-2016-6-47-54.
- Рекомендации ЕОК/ЕОСХ по диагностике и лечению заболеваний периферических артерий 2017 г. Российский кардиологический журнал. 2018;23(8):164–221. [ESC/EOSH recommendations for the diagnosis and treatment of peripheral arterial disease 2017. Rossiiskii kardiologicheskii zhurnal=Russ J Cardiol. (In Russ.)]. URL: https://scardio.ru/content/Guidelines/8_rkj_2018_recomendation_2.pdf