Influence of complete revascularization on chronic mesenteric ischemia

Molly K. McAfee, Kenneth J. Cherry, James M. Naessens, Peter C. Pairolero, John W. Hallett, Peter Gloviczki, Thomas C. Bower

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109 Scopus citations

Abstract

Complete revascularization for chronic intestinalischemia is controversial. Fifty-eight patients (119 arteries) underwent mesenteric revascularization between 1981 and 1988. There were 46 women and 12 men (mean age: 63 years). Sixty percent of patients had three-vessel disease. Twenty-one patients underwent concomitant aortic reconstruction. Operative mortality was 10%. Four of the six deaths occurred in patients undergoing aortic surgery. Late graft failure occurred in five patients (10%). Five-year survival for patients with three-vessel involvement who underwent three-vessel repair was 73%, compared with 57% for two-vessel repair and 0% for one-vessel repair (p=NS). Similarly, graft patency in patients with three-vessel disease was highest in those patients who had complete revascularization (90%, 54%, and 0%, respectively) (p=NS). We conclude that increased graft patency and survival in patients with three-vessel disease was most frequent with complete revascularization. Diseased inferior mesenteric arteries should be repaired if feasible. Concomitant aortic operations should be avoided if possible.

Original languageEnglish (US)
Pages (from-to)220-224
Number of pages5
JournalThe American Journal of Surgery
Volume164
Issue number3
DOIs
StatePublished - Sep 1992

ASJC Scopus subject areas

  • Surgery

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    McAfee, M. K., Cherry, K. J., Naessens, J. M., Pairolero, P. C., Hallett, J. W., Gloviczki, P., & Bower, T. C. (1992). Influence of complete revascularization on chronic mesenteric ischemia. The American Journal of Surgery, 164(3), 220-224. https://doi.org/10.1016/S0002-9610(05)81074-8