Balloon Angioplasty and Stenting of Superior Mesenteric Artery in Chronic Intestinal Ischemia Associated with Decompensated Chronic Heart Failure (Clinical Case Report)
- 作者: Zaitsev O.V.1,2, Kopeykin A.A.1,2, Surov D.E.2, Surov I.Y.2, Yudin V.A.1,2, Koshkina A.V.1,2, Kochetkov F.D.1
-
隶属关系:
- Ryazan State Medical University
- Regional Clinical Hospital
- 期: 卷 32, 编号 3 (2024)
- 页面: 491-498
- 栏目: Clinical reports
- ##submission.dateSubmitted##: 01.03.2023
- ##submission.dateAccepted##: 16.01.2024
- ##submission.datePublished##: 04.10.2024
- URL: https://journals.eco-vector.com/pavlovj/article/view/303673
- DOI: https://doi.org/10.17816/PAVLOVJ303673
- ID: 303673
如何引用文章
详细
INTRODUCTION: Chronic intestinal ischemic syndrome (CIIS) is a pathology associated with chronic circulatory insufficiency in the visceral branches of the abdominal aorta. Duplex ultrasound can be used as the first imaging method to identify mesenteric artery stenosis. In general clinical practice, the diagnosis of CIIS is relatively rare. Expansion of application of percutaneous endovascular angioplasty and stenting of mesenteric arteries in recent years has significantly increased the effectiveness of treating patients with atherosclerotic lesion of the visceral arteries and CIIS.
AIM: To demonstrate a clinical case of use of X-ray endovascular technologies in CIIS in a patient of cardiology profile.
A clinical case of a patient with CIIS and severe decompensated polymorbidity is presented. Due to severity of the condition and impossibility of full examination for this reason, the patient was not included in the waiting list for heart transplantation despite the existence of indications for it. He was admitted to hospital for urgent indications. Ultrasound data revealed stenosis of the superior mesenteric artery. Balloon angioplasty and stenting of the superior mesenteric artery were successful. After discharge, the patient’s condition was satisfactory.
CONCLUSION: The case demonstrates that effective treatment of even one of many comorbid diseases in a severe polymorbidity patient can improve his general condition, reduce load on the cardiovascular system and reverse edematous-ascitic syndrome.
全文:
作者简介
Oleg Zaitsev
Ryazan State Medical University; Regional Clinical Hospital
Email: ozaitsev@yandex.ru
ORCID iD: 0000-0002-1822-3021
SPIN 代码: 4556-7922
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, Ryazan; RyazanAlexander Kopeykin
Ryazan State Medical University; Regional Clinical Hospital
Email: akopeykin@yandex.ru
ORCID iD: 0000-0002-2198-1464
SPIN 代码: 4011-8705
MD, Cand. Sci. (Med.), Associate Professor
俄罗斯联邦, Ryazan; RyazanDmitry Surov
Regional Clinical Hospital
Email: dmitrijsurov@yandex.ru
ORCID iD: 0000-0002-9778-7641
SPIN 代码: 6334-0850
俄罗斯联邦, Ryazan
Ivan Surov
Regional Clinical Hospital
Email: ivanrus1996@gmail.com
ORCID iD: 0000-0003-0861-2856
SPIN 代码: 1489-7481
俄罗斯联邦, Ryazan
Vladimir Yudin
Ryazan State Medical University; Regional Clinical Hospital
Email: vydin@yandex.ru
ORCID iD: 0000-0002-9955-6919
SPIN 代码: 1463-2810
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, Ryazan; RyazanAnna Koshkina
Ryazan State Medical University; Regional Clinical Hospital
编辑信件的主要联系方式.
Email: mokrova_ann@mail.ru
ORCID iD: 0000-0002-8824-7782
SPIN 代码: 9153-5364
MD, Cand. Sci. (Med.)
俄罗斯联邦, Ryazan; RyazanFyodor Kochetkov
Ryazan State Medical University
Email: kochetkovf@bk.ru
ORCID iD: 0000-0001-6646-8595
SPIN 代码: 9806-5369
俄罗斯联邦, Ryazan
参考
- Mensink PBF, Lune LMG, Kuipers EJ. Chronic gastrointestinal ischaemia: shifting paradigms. Gut. 2011;60(5):722–37. doi: 10.1136/gut.2009.199695
- Alakhdab F, Arwani R, Pasha AK, et al. A systematic review and meta-analysis of endovascular versus open surgical revascularization for chronic mesenteric ischemia. J Vasc Surg. 2018;67(5):1598–605. doi: 10.1016/j.jvs.2017.12.046
- Harki J, Vergouwe Y, Spoor JA, et al. Diagnostic Accuracy of the Combination of Clinical Symptoms and CT or MR Angiography in Patients With Chronic Gastrointestinal Ischemia. J Clin Gastroenterol. 2017;51(6):e39–e47. doi: 10.1097/mcg.0000000000000605
- Wilcox MG, Howard TJ, Plaskon LA, et al. Current theories of pathogenesis and treatment of nonocclusive mesenteric ischemia. Dig Dis Sci. 1995;40(4):709–16. doi: 10.1007/bf02064966
- Schegolev AA, Mutaev MM, Papoyan SA, et al. Endovascular Treatment of Chronic Mesenteric Ischemia. Lechebnoye Delo. 2019;(2):58–62. (In Russ). doi: 10.24411/2071-5315-2019-12112
- Pillai AK, Kalva SP, Hsu SL, et al.; Society of Interventional Radiology Standards of Practice Committee. Quality Improvement Guidelines for Mesenteric Angioplasty and Stent Placement for the Treatment of Chronic Mesenteric Ischemia. J Vasc Interv Radiol. 2018;29(5):642–7. doi: 10.1016/j.jvir.2017.11.024
- Van Dijk LJ, van Petersen AS, Moelker A. Vascular imaging of the mesenteric vasculature. Best Pract Res Clin Gastroenterol. 2017;31(1):3–14. doi: 10.1016/j.bpg.2016.12.001
- Van Dijk LJ, van Noord D, de Vries AC, et al. Clinical management of chronic mesenteric ischemia. United European Gastroenterol J. 2019;7(2):179–88. doi: 10.1177/2050640618817698
- Kougias P, El Sayed HF, Zhou W, et al. Management of chronic mesenteric ischemia. The role of endovascular therapy. J Endovasc Ther. 2007;14(3):395–405. doi: 10.1583/07-2102.1
- Cho J–S, Carr JA, Jacobsen G, et al. Long-term outcome after mesenteric artery reconstruction: a 37-year experience. J Vasc Surg. 2002;35(3):453–60. doi: 10.1067/mva.2002.118593
- Hirsch AT, Haskal ZJ, Hertzer NR, et al.; American Association for Vascular Surgery; Society for Vascular Surgery; Society for Cardiovascular Angiography and Interventions; Society for Vascular Medicine and Biology; Society of Interventional Radiology; ACC/AHA Task Force on Practice Guidelines Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease; American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; Vascular Disease Foundation. ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation. 2006;113(11):e463–654. doi: 10.1161/circulationaha.106.174526
- Thomas JH, Blake K, Pierce GE, et al. The clinical course of asymptomatic mesenteric arterial stenosis. J Vasc Surg. 1998;27(5): 840–4. doi: 10.1016/s0741-5214(98)70263-0
- Beaulieu RJ, Arnaoutakis KD, Abularrage CJ, et al. Comparison of open and endovascular treatment of acute mesenteric ischemia. J Vasc Surg. 2014;59(1):159–64. doi: 10.1016/j.jvs.2013.06.084
- Schermerhorn ML, Giles KA, Hamdan AD, et al. Mesenteric revascularization: management and outcomes in the United States, 1988–2006. J Vasc Surg. 2009;50(2):341–348.e1. doi: 10.1016/j.jvs.2009.03.004
- Moghadamyeghaneh Z, Carmichael JC, Mills SD, et al. Early Outcome of Treatment of Chronic Mesenteric Ischemia. Am Surg. 2015; 81(11):1149–56.
- Dolgushina AI, Shaposhnik II, Seljanina AA, et al. Chronic mesenteric ischemia: current state of the problem. Experimental and Clinical Gastroenterology. 2020;178(6):166–72. (In Russ). doi: 10.31146/1682-8658-ecg-178-6-166-172
- Mutaev MM, Schegolev AA, Papoyan SA, et al. Chronic Mesenteric Ischemia. Lechebnoe Delo. 2020;(4):4–12. (In Russ). doi: 10.24412/2071-5315-2020-12266