Article Sidebar

pdf
Date Published: 10/04/2024
Abstract Views: 123
Views pdf: 153
DOI: https://doi.org/10.51298/vmj.v537i1B.9116
Issue
Vol. 537 No. 1B (2024)
Section
Các bài báo
How to Cite
Lê, C. P. D., Bùi, T. H., Võ , T. A., & Võ , D. Q. (2024). SERIES CASES REPORT: TWO CASES OF SUPERIOR MESENTERIC ARTERY OBSTRUCTION WERE SUCCESSFULLY TREATED WITH ENDOVASCULAR INTERVENTION AT NGUYEN TRI PHUONG HOSPITAL. Vietnam Medical Journal, 537(1B). https://doi.org/10.51298/vmj.v537i1B.9116

SERIES CASES REPORT: TWO CASES OF SUPERIOR MESENTERIC ARTERY OBSTRUCTION WERE SUCCESSFULLY TREATED WITH ENDOVASCULAR INTERVENTION AT NGUYEN TRI PHUONG HOSPITAL

Cao Phương Duy Lê, Thế Hòa Bùi, Thành An Võ , Duy Quan Võ

Main Article Content

Abstract

Introduction: Superior mesenteric artery thrombotic occlusion (SMAO) is a medical condition caused by the obstruction of blood vessels in the small and large intestines, leading to intestinal ischemia and potentially fatal consequences. The exact frequency of this disease has not been accurately documented, estimated to be approximately 0,1-0,2% among all hospitalized patients. SMAO can result from various factors, including embolism, atherosclerosis, compression, or vascular inflammation, with atherosclerosis being the leading cause within the category of chronic diseases and the primary focus of this article. We conducted this research with the aim of investigating the initial symptoms and outcomes of endovascular interventions in patients with chronic superior mesenteric artery stenosis. Methods: Clinical description through 2 clinical cases. Discussion: The article will discuss the diagnostic approaching and treatment effectiveness of the endovascular interventions method. Conclusion: Chronic ischemia of the superior mesenteric artery is a condition often overlooked. the gold standard for diagnosis is degital substraction angiography (DSA). Revascularization by endovascular interventions such as stenting is the primary treatment strategy.

Article Details

Keywords

Localized ischemia, mesenteric arteries, stenosis, atherosclerosis, stent

References

1. Mastoraki, A., et al. (2016), "Mesenteric ischemia: Pathogenesis and challenging diagnostic and therapeutic modalities", World J Gastrointest Pathophysiol. 7(1), p 125-30.
2. Zezos, P., Kouklakis, G., and Saibil, F. (2014), "Inflammatory bowel disease and thromboembolism", World J Gastroenterol. 20(38), p 13863-78.
3. Acosta, S. (2010), "Epidemiology of mesenteric vascular disease: clinical implications", Semin Vasc Surg. 23(1), p 4-8.
4. Franca, E., Shaydakov, M. E., and Kosove, J. (2022), "Mesenteric Artery Thrombosis", StatPearls, Treasure Island (FL).
5. Zeller, T., Rastan, A., and Sixt, S. (2010), "Chronic atherosclerotic mesenteric ischemia (CMI)", Vasc Med. 15(4), p 333-8.
6. Anandan, A. S. and Silva, M. (2022), "Chronic mesenteric ischemia: Diagnosis & management", Ann Med Surg (Lond). 80, p 104138.
7. Zdanyte, M., et al. (2021), "Progressive abdominal pain in a 63-year-old man", Clin Case Rep. 9(8), p e04543.
8. Halliday, A. and Bax, J. J. (2018), "The 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in Collaboration With the European Society for Vascular Surgery (ESVS)", Eur J Vasc Endovasc Surg. 55(3), p 301-302.