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Chronic mesenteric ischemia: Diagnosis and management
Progress in Cardiovascular Diseases ( IF 9.1 ) Pub Date : 2021-04-24 , DOI: 10.1016/j.pcad.2021.03.002
Partha Sardar 1 , Christopher J White 1
Affiliation  

Chronic mesenteric ischemia (CMI) is an uncommon, potentially underdiagnosed clinical condition. Although there is a high prevalence of mesenteric artery stenoses (MAS), an abundant collateral network in the mesenteric circulation mitigates occurrence of ischemia. The most common etiology of CMI is atherosclerosis. CMI is a clinical diagnosis, based upon typical and atypical symptoms and consistent anatomic findings. Typical symptoms of CMI are postprandial abdominal pain, unintended weight loss and food avoidance. The main modalities to diagnose MAS are duplex ultrasound, CT angiography or MR angiography, although high resolution CTA is preferred. Endovascular therapy with balloon expandable stents has become the preferred treatment for MAS.



中文翻译:

慢性肠系膜缺血:诊断和治疗

慢性肠系膜缺血 (CMI) 是一种罕见的、可能未被充分诊断的临床病症。尽管肠系膜动脉狭窄 (MAS) 的患病率很高,但肠系膜循环中丰富的侧支网络可减轻缺血的发生。CMI 最常见的病因是动脉粥样硬化。CMI 是一种临床诊断,基于典型和非典型症状以及一致的解剖学发现。CMI 的典型症状是餐后腹痛、意外体重减轻和避免进食。诊断 MAS 的主要方式是双工超声、CT 血管造影或 MR 血管造影,但首选高分辨率 CTA。球囊扩张支架的血管内治疗已成为 MAS 的首选治疗方法。

更新日期:2021-05-28
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