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Gastrointestinal Vascular Diseases: Percutaneous Approach

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Pan Vascular Medicine

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Abstract

Interventional radiology has the capacity to deal with a wide spectrum of clinical problems ranging from visceral ischemia to the treatment of gastrointestinal hemorrhage. Many of the patients have comorbidities that render vascular surgical options high-risk. Endovascular methods have the advantage of being less invasive and so are particularly attractive in this patient group.

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References

  1. Howard TJ, Plaskon LA, Wiebke EA, Wilcox MG, Madura JA (1996) Nonocclusive mesenteric ischemia remains a diagnostic dilemma. Am J Surg 171:405–408

    Article  CAS  PubMed  Google Scholar 

  2. Klempnauer J, Grothues F, Bektas H, Wahlers T (1997) Acute mesenteric ischemia following cardiac surgery. J Cardiovasc Surg (Torino) 38:639–643

    CAS  Google Scholar 

  3. Kandarpa K (1995) Acute mesenteric ischaemia. In: Kandarpa K, Aruny JE (eds) Handbook of interventional radiologic procedures. Little Brown, Boston, pp 125–130

    Google Scholar 

  4. Ritz JP, Runkel N, Berger G, Buhr HJ (1997) Prognostic factors in mesenteric infarct. Zentralbl Chir 122:332–338

    CAS  PubMed  Google Scholar 

  5. Duron JJ, Peyrard P, Boukhtouche S, Farah A, Suc B (1998) Acute mesenteric ischemia: changes in 1985–1995. Surgical Research Associations. Chirurgie 123:335–342

    Article  CAS  PubMed  Google Scholar 

  6. Huisman TA, Benoit CH, Traber J, Marincek B (2000) Acute mesenteric ischemia: value of computerized tomography diagnosis. Schweiz Rundsch Med Prax 89:1018–1021

    CAS  Google Scholar 

  7. Yamada K, Saeki M, Yamaguchi T, Taira M, Ohyama Y, Ashida H, Sakuyama K, Ishikawa T (1998) Acute mesenteric ischemia. CT and plain radiographic analysis of 26 cases. Clin Imaging 22:34–41

    Article  CAS  PubMed  Google Scholar 

  8. Taourel PG, Deneuville M, Pradel JA, Regent D, Bruel JM (1996) Acute mesenteric ischemia: diagnosis with contrast-enhanced CT. Radiology 199:632–636

    CAS  PubMed  Google Scholar 

  9. Slonim SM, Miller DC, Mitchell RS, Semba CP, Razavi MK, Dake MD (1999) Percutaneous balloon fenestration and stenting for life-threatening ischaemic complications in patients with acute aortic dissection. J Thorac Cardiovasc Surg 117:1118–1126

    Article  CAS  PubMed  Google Scholar 

  10. Furrer J, Gruntzig A, Kugelmeier J, Goebel N (1980) Treatment of abdominal angina with percutaneous dilatation of an arteria mesen-terica superior stenosis. Cardiovasc Intervent Radiol 3:43–44

    Article  CAS  PubMed  Google Scholar 

  11. Uflacker R, Goldany MA, Constant S (1980) Resolution of mesenteric angina with percutaneous transluminal angioplasty of a superior mesenteric artery stenosis using a balloon catheter. Gastrointest Radiol 5:367–369

    Article  CAS  PubMed  Google Scholar 

  12. Novelline RA (1980) Percutaneous transluminal angioplasty: newer applications. AJR Am J Roentgenol 135:983–988

    Article  CAS  PubMed  Google Scholar 

  13. Matsumoto AH, Tegtmeyer CJ, Fitzcharles EK, et al (1995) Percutaneous transluminal angioplasty of visceral arterial stenoses. Results and long-term clinical follow-up. J Vasc Interv Radiol 6:165–174

    Article  CAS  PubMed  Google Scholar 

  14. Giroux MF, Soulez G, Therasse E, Nicolet V, Froment D, Courteau M, Oliva VL (2000) Percutaneous revascularization of the renal arteries: predictors of outcome. J Vasc Interv Radiol 11:713–720

    Article  CAS  PubMed  Google Scholar 

  15. Ando M, Sasako Y, Okita Y, Tagusari O, Kitamura S, Matsuo H (2000) Surgical considerations of occlusive lesions associated with Takayasu’s arteritis. Jpn J Thorac Cardiovasc Surg 48:173–179

    Article  CAS  PubMed  Google Scholar 

  16. Ozdü E, Parikh DK, Krajcer Z, Angelini P (1996) Stent placement in a patient with Takayasu arteritis. Cathet Cardiovasc Diagn 38:373–376

    Article  Google Scholar 

  17. Tyagi S, Verma PK, Kumar N, Arora R (1997) Stent angioplasty for relief of chronic mesenteric ischemia in Takayasu arteritis. Indian Heart J 49:315–318

    CAS  PubMed  Google Scholar 

  18. Minh TL, Hoang AD, Dupont P, Motte S, el Douaihy M, Ferreira J, Michel P, Dehon P, Dereume JP (1999) Abdominal aortic coarctation with splanchnic arterial occlusion. Acta Chir Belg 99:263–266

    PubMed  Google Scholar 

  19. O’Neill JA Jr, Berkowitz H, Fellows KJ, Harmon CM (1995) Midaortic syndrome and hypertension in childhood. J Pediatr Surg 30:164–171; discussion 171–172

    Google Scholar 

  20. Mickley V, Fleiter T (1998) Coarctations of descending and abdominal aorta: long-term results of surgical therapy. J Vasc Surg 28:206 – 214

    Article  CAS  PubMed  Google Scholar 

  21. Ko SF, Lee TY, Cheng TT, Ng SH, Lai HM, Cheng Y, Tsai F (1997) CT findings at lupus mesenteric vasculitis. Acta Radiol 38:115–120

    CAS  PubMed  Google Scholar 

  22. Takach TJ, Livesay JJ, Reul GJ jr, Cooley DA (1996) Celiac compression syndrome: tailored therapy based on intraoperative findings. J Am Coll Surg 183:606–610

    CAS  PubMed  Google Scholar 

  23. Van Damme H, Creemers E, Limet R (2000) Ischaemic colitis following aortoiliac surgery. Acta Chir Belg 100:21–27

    PubMed  Google Scholar 

  24. Tsurushima H, Kamezaki T, Nagatomo Y, Hyodo A, Nose T (2000) Complications associated with intraarterial administration of papaverine for vasospasm following subarachnoid hemorrhage — two case reports. Neurol Med Chir (Tokyo) 40:112–115

    Article  CAS  Google Scholar 

  25. van den Ven PJG, Kaatee R, Beutler JJ, Beek FJA, Wottiez AJ, Buskens E, et al (1999) Arterial stenting and balloon angioplasty in ostial atherosclerotic renovascular disease: a randomised trial. Lancet 353:282–286

    Article  PubMed  Google Scholar 

  26. Heenan SD, Grubnic S, Buckenham TM, Belli A-M (1996) Trans-brachial arteriography: indications and complications. Clin Radiol 51:205–209

    Article  CAS  PubMed  Google Scholar 

  27. Odurny A, Sniderman KW, Colapinto RF (1988) Intestinal angina. Percutaneous transluminal angioplasty of the coeliac and superior mesenteric arteries. Radiology 59:59–62

    Google Scholar 

  28. Rose SC, Quigley TM, Raker EJ (1995) Revascularization for chronic mesenteric ischemia: comparison of operative arterial bypass grafting and percutaneous transluminal angioplasty. J Vasc Intervent Radiol 6:339–349

    Article  CAS  Google Scholar 

  29. Sternbergh WC III, Ramee SR, DeVun DA, Money SR (2000) Endo-vascular treatment of multiple visceral artery paradoxical emboli with mechanical and pharmacological thrombolysis. J Endovasc Ther 7:155–160

    Article  PubMed  Google Scholar 

  30. Holden RW (1990) Plasminogen activators: pharmacology and therapy. Radiology 174:993

    CAS  PubMed  Google Scholar 

  31. Margaglione M, Grandone E, DiMinno G (1992) Mechanisms of fibrinolysis and clinical use of thrombolytic agents. Prog Drug Res 39:197

    CAS  PubMed  Google Scholar 

  32. Valji K, Bookstein JJ (1997) Thrombolysis: clinical applications. In: Baum S, Pentecost MJ (eds) Abrams, angiography: interventional radiology. Little Brown, Boston, p 132

    Google Scholar 

  33. Yankes JR, Uglietta JP, Grant J, Braun SD (1988) Percutaneous transhepatic recanalization and thrombolysis of the superior mesenteric vein. AJR Am J Roentgenol 151:289–290

    Article  CAS  PubMed  Google Scholar 

  34. McBride KD, Gaines PA (1994) Thrombolysis of a partially occluding superior mesenteric artery, thromboembolus by infusion of streptokinase. Cardiovasc Intervent Radiol 17:164–166

    CAS  PubMed  Google Scholar 

  35. Nathan N, Wintringer P, Bregeon Y, Cassat C, Le Blanche A, Boulanger JP, Feiss P (1995) Intra-arterial thrombolysis of acute mesenteric ischemia. Ann Fr Anesth Reanim 14:33–36

    Article  CAS  PubMed  Google Scholar 

  36. Kwauk ST, Bartlett JH, Hayes P, Chow KC (1996) Intra-arterial fibrinolytic treatment for mesenteric arterial embolus: a case report. Can J Surg 39:163–166

    CAS  PubMed  Google Scholar 

  37. Badiola CM, Scoppetta DJ (1997) Rapid revascularization of an embolic superior mesenteric artery occlusion using pulse-spray pharmacomechanical thrombolysis with urokinase. A1R Am J Roentgenol 169:55–57

    Article  CAS  Google Scholar 

  38. Hirota S, Matsumoto S, Yoshikawa T, Ichikawa S, Sako M, Kono M (1997) Simultaneous thrombolysis of superior mesenteric artery and bilateral renal artery thromboembolisms with three trans-femoral catheters. Cardiovasc Intervent Radiol 20:397–400

    Article  CAS  PubMed  Google Scholar 

  39. Kohler M, Kramann B, Hellstern P, Fess W, Walter P, Woerner H, Kiehl R, Wenzel E (1985) Successful treatment of superior mesenteric artery thrombosis with local high-dose urokinase therapy. Klin Wochenschr 63:722–727

    Article  CAS  PubMed  Google Scholar 

  40. Elefteriades JA, Lovoulos CJ, Coady MA, Teilides G, Kopf GS, Rizzo JA (1999) Management of descending aortic dissection. Ann Thorac Surg 67:2002–2005; discussion 2014–2019

    Article  CAS  PubMed  Google Scholar 

  41. Muller BT, Grabitz K, Fürst G, Sandmann W (2000) Acute aortic dissection. Diagnosis and therapy of ischemic complications. Chirurg 71:209–214

    Article  CAS  PubMed  Google Scholar 

  42. Williams DM, Lee DY, Hamilton BH, Marx MV, Narasimham DL, Kazanjian SN, Prince MR, Andrews JC, Cho KJ, Deeb GM (1997) The dissected aorta: percutaneous treatment of ischaemic complications — principles and results. J Vasc Intervent Radiol 8:605–625

    Article  CAS  Google Scholar 

  43. Slonim SM, Miller DC, Mitchell RS, Semba CP, Razavi MK, Dake MD (1999) Percutaneous balloon fenestration and stenting for life-threatening ischaemic complications in patients with acute aortic dissection. Thorac Cardiovasc Surg 117:1118–1126

    Article  CAS  Google Scholar 

  44. Chavan A, Galanski M, Pichelmaier M (2000) Minimally invasive therapy options in aortic dissections. Fortschr Roentgenstr 172:576–586

    Article  CAS  Google Scholar 

  45. Chung JW, Elkins C, Sakai T, Kato N, Vestring T, Semba CP, Slonim SM, Dake MD (2000) True-lumen collapse in aortic dissection, part II. Evaluation of treatment methods in phantoms with pulsatile flow. Radiology 214:99–106

    Article  CAS  PubMed  Google Scholar 

  46. Nienaber CA, Fattori R, Lund G, et al (1999) Nonsurgical reconstruction of thoracic aortic dissection by stent-graft placement. N Engl J Med 340:1539–1545

    Article  CAS  PubMed  Google Scholar 

  47. Chavan A, Hausmann D, Dresler C, et al (1997) Intravascular ultrasound-guided percutaneous fenestration of the intimal flap in the dissected aorta. Circulation 96:2124–2127

    Article  CAS  PubMed  Google Scholar 

  48. Heinemann MK, Buehner B, Schaefers HJ, Jurmann MJ, Laas J, Borst HG (1994) Malperfusion of the thoracoabdominal vasculature in aortic dissection. J Card Surg 9:748–755; discussion 755–757

    Article  CAS  PubMed  Google Scholar 

  49. Slonim SM, Nyman UR, Semba CP, Miller DC, Mitchell RS, Dake MD (1996) True lumen obliteration in complicated aortic dissection: endovascular treatment. Radiology 201:161–166

    CAS  PubMed  Google Scholar 

  50. Roesch J, Dotter CT, Brown MJ (1972) Selective arterial embolization. A new method for control of acute gastrointestinal bleeding. Radiology 102:303–306

    Google Scholar 

  51. Meiler J, Schonborn E, Conrad M, Horstmann O, Raddatz D, Becker W(2000) Improved detection of gastrointestinal bleeding sites with “mTc market autologous erythrocytes and continuous dynamic scintigraphy with cine-mode display. Chirurg 71:292–299

    Article  Google Scholar 

  52. Ng DA, Opelka FG, Beck DE, Müburn JM, Witherspoon LR, Hicks TC, Timmcke AE, Gathright JB jr (1997) Predictive value of technetium Tc 99m-labeled red blood cell scintigraphy for positive angiogram in massive lower gastrointestinal hemorrhage. Dis Colon Rectum 40:471–477

    Article  CAS  PubMed  Google Scholar 

  53. Encarnacion CE, Kadir S, Beam CA, Payne CS (1992) Gastrointestinal bleeding: treatment with gastrointestinal arterial embolization. Radiology 183:505–508

    CAS  PubMed  Google Scholar 

  54. Sandhu C, Buckenham TM, Belli AM (1999) Using COyenhanced arteriography to investigate acute gastrointestinal hemorrhage. AJR Am J Roentgenol 173:1399–1401

    Article  CAS  PubMed  Google Scholar 

  55. Reeves TQ, Osborne TM, List AR, Civil ID (1993) Dieulafoy disease: localization with thrombolysis-assisted angiography. J Vasc Inter-vent Radiol 4:119–121

    Article  CAS  Google Scholar 

  56. Maiden ES, Hicks ME, Royal HD, Aliperti G, Allen BT (1998) Picus. Recurrent gastrointestinal bleeding: use of thrombolysis with anticoagulation in diagnosis. Radiology 207:147–151

    Google Scholar 

  57. Roesch J, Keller FS, Wawrukiewicz AS, Krippaehne WW, Dotter CT (1982) Pharmacoangiography in the diagnosis of recurrent massive lower gastrointestinal bleeding. Radiology 145:615–619

    Google Scholar 

  58. Chang YC, Tsang YM, Kung KL, Choi WM, Huang KM, Hsu CY, Wei TC, Wang TH, Chou YH (1991) Transcatheter control of intractable gastrointestinal bleeding. J Formos Med Assoc 90:81–87

    CAS  PubMed  Google Scholar 

  59. Vaidya A, Supe A, Samsi AB, Ramakantan R (1990) Continuous intraarterial vasopressin infusion for control of typhoid hemorrhage. Indian J Gastroenterol 9:225–226

    CAS  PubMed  Google Scholar 

  60. Pennoyer WP, Vignati PV, Cohen JL (1996) Management of angiogram positive lower gastrointestinal hemorrhage: long-term follow-up of non-operative treatments. Int J Colorectal Dis 11:279–282

    Article  CAS  PubMed  Google Scholar 

  61. Colemont LJ, Harrier HD, Shoemaker WC (1991) Vasopressin-relat-ed bullous disease of the legs. J Clin Gastroenterol 13:91–93

    Article  CAS  PubMed  Google Scholar 

  62. Lemlich G, Di Grandi S, Szaniawski WK (1996) Cutaneous reaction to vasopressin. Cutis 57:330–332

    CAS  PubMed  Google Scholar 

  63. Goldberg H, Fabry TL (1989) Mesenteric thrombosis following sclerotherapy during vasopressin infusion: mechanism and therapeutic implications. J Clin Gastroenterol 11:56–57

    Article  CAS  PubMed  Google Scholar 

  64. Sweren BS, Bohlman ME (1989) Gastric and splenic infarction: a complication of intra-arterial vasopressin infusion. Cardiovasc Intervent Radiol 12:207–209

    Article  CAS  PubMed  Google Scholar 

  65. Lin TW, Kuo YS (1996) Acute pulmonary oedema following administration of vasopressin for control of massive GI tract haemorrhage in a major burn patient. Burns 22:73–75

    Article  CAS  PubMed  Google Scholar 

  66. Laszlo FA, Varga C, Doczi T (1995) Cerebral oedema after subarachnoid haemorrhage. Pathogenetic significance of vasopressin. Acta Neurochir (Wien) 133:122–133

    Article  CAS  Google Scholar 

  67. Lang EV, Picus D, Marx MV, Hicks ME, Friedland GW (1992) Massive upper gastrointestinal haemorrhage with normal findings on arteriography: value of prophylactic embolization of the gastric artery. AJR 158:547–549

    Article  CAS  PubMed  Google Scholar 

  68. Kemmeter P, Bonnell B, VanderKolk W, Griggs T, et al (2000) Percutaneous thrombin injection of splanchnic artery aneurysms: two case reports. J Vasc Interv Radiol 11:469–472

    Article  CAS  PubMed  Google Scholar 

  69. den Butter G, van Bockel JH, Aarts JC (1988) Arterial fibrodysplasia: rapid progression complicated by rupture of a visceral aneurysm into the gastrointestinal tract. J Vasc Surg 7:449–453

    Google Scholar 

  70. Foissy P, Fabre M, Lebaleur A, Buffet C, Frileux C, Etienne JP (1984) Aneurysm of the trunk of the superior mesenteric artery and polyaneurysmal disease of the right paracolic arcade of fibromus-cular hyperplasia type. A case. Ann Med Interne (Paris) 135:530–532

    CAS  Google Scholar 

  71. Harada M, Yoshida H, Ikeda H, Yoshida T, Takedatsu H, Nagamatsu H, Koga K, Fujisawa Y, Sakamoto M, Fujisaki K, Sakisaka S, Yasumoto K, Toyonaga A, Sata M (1999) Polyarthritis nodosa with mesenteric aneurysms demonstrated by angiography: report of a case and successful treatment of the patient with prednisolone and cyclophosphamide. J Gastroenterol 34:702–705

    Article  CAS  PubMed  Google Scholar 

  72. Sellke FW, Williams GB, Donovan DL, Clarke RE (1986) Management of intra-abdominal aneurysms associated with periarteritis nodosa. J Vasc Surg 4:294–298

    CAS  PubMed  Google Scholar 

  73. Mocan H, Mocan MC, Sen Y, Kuzey G, Civiloglu C (1999) Fatal polyarteritis nodosa with massive mesenteric necrosis in a child. Clin Rheumatol 18:88–90

    Article  CAS  PubMed  Google Scholar 

  74. Granov AM, Tarazov PG, Polikarpov AA (1996) Role of transcatheter embolization in intrahepatic arterioportal fistulas. Vestn Rentgenol Radiol 6:23–26

    PubMed  Google Scholar 

  75. McDermott VG, England RE, Newman GE (1995) Case report: bleeding gastric varices secondary to splenic vein thrombosis successfully treated by splenic artery embolization. Br J Radiol 68:928–930

    Article  CAS  PubMed  Google Scholar 

  76. Hirota S, Ichikawa S, Matsumoto S, Motohara T, Fukuda T, Yoshikawa T (1999) Interventional radiologic treatment for idiopathic portal hypertension. Cardiovasc Intervent Radiol 22:311–314

    Article  CAS  PubMed  Google Scholar 

  77. Adams DB, Zellner JL, Anderson MC (1993) Arterial hemorrhage complicating pancreatic pseudocysts: role of angiography. J Surg Res 54:150–156

    Article  CAS  PubMed  Google Scholar 

  78. Ledermann HP, Schoch E, Jost R, Zollikofer CL (1999) Embolization of the vasa recta in acute lower gastrointestinal haemorrhage: a report of five cases. Cardiovasc Intervent Radiol 22:315–320

    Article  CAS  PubMed  Google Scholar 

  79. Belli AM, Hemingway AP (1991) Malignant angiodysplasia. Clin Rad 44:31–33

    Article  CAS  Google Scholar 

  80. Spiller RC, Parkins RA (1983) Recurrent gastrointestinal bleeding of obscure origin: report of 17 cases and a guide to logical management. Br J Surg 70:489–493

    Article  CAS  PubMed  Google Scholar 

  81. Gambiez LP, Ernst OJ, Merlier OA, Porte HL, Chambon JP, Quandalle PA (1997) Arterial embolization for bleeding pseudocysts complicating chronic pancreatitis. Arch Surg 132:1016–1021

    Article  CAS  PubMed  Google Scholar 

  82. Golzarian J, Nicaise N, Deviere J, Ghysels M, Wery D, Dussaussois L, Van Gansbeke D, Struyven J (1997) Transcatheter embolization of pseudoaneurysms complicating pancreatitis. Cardiovasc Intervent Radiol 20:435–440

    Article  CAS  PubMed  Google Scholar 

  83. Velmahos GC, Chahwan S, Falabella A, Hanks SE, Demetriades D (2000) Angiographic embolization for intraperitoneal and retroperitoneal injuries. World J Surg 24:539–545

    Article  CAS  PubMed  Google Scholar 

  84. Carreira JM, Reyes R, Pulido-Duque JM, Travieso MM, Gorriz E, Pardo MD, Maynar M (1999) Diagnosis and percutaneous treatment of gastrointestinal hemorrhage. Long-term experience. Rev Esp Enferm Dig 91:684–692

    CAS  PubMed  Google Scholar 

  85. Roesch J, Keller FS, Kozak B, Niles N, Dotter CT (1984) Gelfoam powder embolization of the left gastric artery in treatment of massive small-vessel gastric bleeding. Radiology 151:365–370

    Google Scholar 

  86. Lieberman DA, Keller FS, Katon RM, Roesch J (1984) Arterial embolization for massive upper gastrointestinal tract bleeding in poor surgical candidates. Gastroenterology 86:876–885

    CAS  PubMed  Google Scholar 

  87. Lang EK (1992) Transcatheter embolization in management of hemorrhage from duodenal ulcer: long-term results and complications. Radiology 182:703–707

    CAS  PubMed  Google Scholar 

  88. Bulakbasi N, Kurtaran K, Ustunsoz B, Somuncu I (1999) Massive lower gastrointestinal hemorrhage from the surgical anastomosis in patients with multiorgan trauma: treatment by subselective embolization with polyvinyl alcohol particles. Cardiovasc Intervent Radiol 22:461–467

    Article  CAS  PubMed  Google Scholar 

  89. Luchtefeld MA, Senagore AJ, Szomstein M, Fedeson B, Van Erp J, Rupp S (2000) Evaluation of transarterial embolization for lower gastrointestinal bleeding. Dis Colon Rectum 43:532–534

    Article  CAS  PubMed  Google Scholar 

  90. Peck DJ, McLoughlin RF, Hughson MN, Rankin RN (1998) Percutaneous embolotherapy of lower gastrointestinal hemorrhage. J Vasc Interv Radiol 9:747–751

    Article  CAS  PubMed  Google Scholar 

  91. Gordon RL, Ahl KL, Kerlan RK, Wilson MW, LaBerge JM, Sandhu JS, Ring EJ, Welton ML (1997) Selective arterial embolization for the control of lower gastrointestinal bleeding. Am J Surg 174:24–28

    Article  CAS  PubMed  Google Scholar 

  92. Guy GE, Shetty PC, Sharma RP, Burke MW, Burke TH (1992) Acute lower gastrointestinal hemorrhage: treatment by superselective embolization with polyvinyl alcohol particles. AJR Am J Roentgenol 159:521–526

    Article  CAS  PubMed  Google Scholar 

  93. McShane MD, Proctor A, Spencer P, Cumberland DC, Welsh CL (1992) Mesenteric angioplasty for chronic intestinal ischaemia. Eur J Vasc Surg 6:333–336

    Article  CAS  PubMed  Google Scholar 

  94. Allen RC, Martin GH, Rees CR, et al (1996) Mesenteric angioplasty in the treatment of chronic intestinal ischaemia. J Vasc Surg 24:415–423

    Article  CAS  PubMed  Google Scholar 

  95. Maspes F, Mazzetti di Pietralata G, Gandini R, Innocenzi L, Lupatelli L, Barzi F, Simonetti G (1998) Percutaneous transluminal angioplasty in the treatment of chronic mesenteric ischaemia: results and 3-years follow-up in 23 patients. Abdom Imaging 23:358–363

    Article  CAS  PubMed  Google Scholar 

  96. Liermann D, Strecker EP (1995) Tantalum stents in the treatment of stenotic and occlusive disease of abdominal vessels. In: Liermann DD (ed) Stents: state of the art and future developments. Boston Scientific, Watertown, pp 127–134

    Google Scholar 

  97. Nyman U, Ivancev K, Lindh M, Uher P (1998) Endovascular treatment of chronic mesenteric ischaemia: report of five cases. Cardiovasc Intervent Radiol 21:305–313

    Article  CAS  PubMed  Google Scholar 

  98. Sheeran SR, Murphy TP, Khywaya A, Sussman SK, Hallisey MJ (1999) Stent placement for treatment of mesenteric artery stenoses or occlusions. J Vasc Interv Radiol 10:861–867

    Article  CAS  PubMed  Google Scholar 

  99. Prokop M, Koehler A (1998) Gefaesse — Aneurysmen der aortalen Seitenaeste. In: Galanski M, Prokop M (eds) Ganzkoerpercomputer-tomographie. Georg Thieme, Stuttgart, p 461

    Google Scholar 

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Authors
  1. Christoph Engelke
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  2. Robert A. Morgan
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  3. Anna-Maria Belli
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Editors and Affiliations

  1. Herz-Zentrum Coswig, Klinik für Kardiologie und Angiologie, Lerchenfeld 1, 06869, Coswig (Anhalt), Germany

    Peter Lanzer MD

  2. The Cleveland Clinic Foundation, One Clinic Center, 9500 Euclid Avenue, Cleveland, 44195, OH, USA

    Eric J. Topol MD

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Engelke, C., Morgan, R.A., Belli, AM. (2002). Gastrointestinal Vascular Diseases: Percutaneous Approach. In: Lanzer, P., Topol, E.J. (eds) Pan Vascular Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56225-9_111

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  • DOI: https://doi.org/10.1007/978-3-642-56225-9_111

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