Touloumtzidis A1*, Mamopoulos AT1, Lilien-Waldau V2, Zapenko A1, Gäbel G1 and Luther B2
1Department of Vascular Surgery, Helios Klinikum Krefeld, Germany
2Department of Vascular Surgery, Krankenhaus Maria Hilf, Germany
Objectives: Open Surgical Revascularization (OR) as well as Endovascular Revascularization (ER)is widely accepted therapeutic concepts concerning Chronic Mesenteric Ischemia (CMI). Nowadays an increasing number of patients are administrated to ER. To evaluate the significance of OR we analysed long-term outcomes in patients suffering from CMI in our hospital.Methods: A retrospective single centre analysis of all patients, who underwent elective OR because of CMI between 2004 and 2016, was conducted based on quality control data. Primary outcomes were 30 day mortality and morbidity; secondary outcomes were survival, patency rates and symptom free survival from digestive disorders.Results: Eighty-six vessels in 52 patients were revascularized. Number of treated patients per year remained similar during the observation period. The mean follow-up period amounted 58 ± 43 months. The 30 day mortality was 5,8%, the morbidity 21,1%. Five - year survival was 83,1%. The primary and secondary patency rates at 5 years were 77,0% and 91,5% respectively. Freedom from digestive symptoms at five years were achieved in 82,5% of the patients.Conclusion: In accordance to international centre's OR offers improved rates of patency and long-term relief from digestive symptoms but is accompanied by a deterioration of morbidity and mortality. Nevertheless it remains necessary as a tailored approached therapy concept in a subgroup of patients suffering from CMI.
Chronic mesenteric ischemia; Open surgical revascularization; Coeliac trunk; Superior mesenteric artery
Touloumtzidis A, Mamopoulos AT, Lilien-Waldau V, Zapenko A, G�bel G, Luther B. Chronic Mesenteric Ischemia: Long Term Results after Open Surgical Revascularization. Clin Surg. 2018; 3: 2080.