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

Research output: Contribution to journalArticle

106 Citations (Scopus)

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 - 1992
Externally publishedYes

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Inferior Mesenteric Artery
Transplants
Mesenteric Ischemia
Mesenteric Arteries
Graft Survival
Survival
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

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

Influence of complete revascularization on chronic mesenteric ischemia. / McAfee, Molly K.; Cherry, Kenneth J.; Naessens, James M; Pairolero, Peter C.; Hallett, John W.; Gloviczki, Peter; Bower, Thomas C.

In: The American Journal of Surgery, Vol. 164, No. 3, 1992, p. 220-224.

Research output: Contribution to journalArticle

McAfee, MK, Cherry, KJ, Naessens, JM, Pairolero, PC, Hallett, JW, Gloviczki, P & Bower, TC 1992, 'Influence of complete revascularization on chronic mesenteric ischemia', The American Journal of Surgery, vol. 164, no. 3, pp. 220-224. https://doi.org/10.1016/S0002-9610(05)81074-8
McAfee, Molly K. ; Cherry, Kenneth J. ; Naessens, James M ; Pairolero, Peter C. ; Hallett, John W. ; Gloviczki, Peter ; Bower, Thomas C. / Influence of complete revascularization on chronic mesenteric ischemia. In: The American Journal of Surgery. 1992 ; Vol. 164, No. 3. pp. 220-224.
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