Zusammenfassung
Ursache der mesenterialen arteriellen Verschlusskrankheit in der westlichen Welt ist überwiegend eine generalisierte Arteriosklerose. Sind alle drei Hauptarterien relevant betroffen, führt dies in der Regel zu abdominellen, postprandialen Symptomen, deren ätiologische Zuordnung oft erst nach jahrelanger Latenz erfolgt. Die Revaskularisation stellt die einzige kausale Therapieform additiv zu einer begleitenden medikamentösen, sekundär-präventiven Therapie dar.
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Literatur
Aboyans V, Ricco JB, Bartelink MEL, Bjorck M, Brodmann M, Cohnert T, Collet JP, Czerny M, De Carlo M, Debusa S, Espinola-Klein C, Kahan T, Kownator S, Mazzolai L, Naylora AR, Roffi M, Rotherb J, Sprynger M, Tendera M, Tepe G, Venermoa M, Vlachopoulos C, Desormais I (2018) 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS). Rev Esp Cardiol (Engl Ed) 71(2):111. https://doi.org/10.1016/j.rec.2017.12.014
AbuRahma AF, Stone PA, Bates MC, Welch CA (2003) Angioplasty/stenting of the superior mesenteric artery and celiac trunk: early and late outcomes. J Endovasc Ther 10(6):1046–1053
Babu SC, Shah PM (1993) Celiac territory ischemic syndrome in visceral artery occlusion. Am J Surg 166(2):227–230
Bala M, Kashuk J, Moore EE, Kluger Y, Biffi W, Gomes CA, Ben-Ishay O, Rubinstein C, Zj B, Civi I, Coccolini F, Leppaniemi A, Peitzman A, Ansaloni L, Sugrue M, Sartelli M, Di Saverio S, Fraga GP, Catena F (2017) Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery. World J Emerg Surg 12:38. https://doi.org/10.1186/s13017-017-0150-5
Biebl M, Oldenburg WA, Paz-Fumagalli R, McKinney JM, Hakaim AG (2007) Surgical and interventional visceral revascularization for the treatment of chronic mesenteric ischemia – when to prefer which? World J Surg 31(3):562–568
Bockel JH van, Geelkerken RH, Wasser MN (2001) Chronic splanchnic ischaemia. Best Pract Res Clin Gastroenterol 15(1):99–119
Cademartiri F, Palumbo A, Maffei E, Martini C, Malago R, Belgrano M et al (2008) Noninvasive evaluation of the celiac trunk and superior mesenteric artery with multislice CT in patients with chronic mesenteric ischaemia. Radiol Med 113(8):1135–1142
Davies RS, Wall ML, Silverman SH, Simms MH, Vohra RK, Bradbury AW et al (2009) Surgical versus endovascular reconstruction for chronic mesenteric ischemia: a contemporary UK series. Vasc Endovasc Surg 43(2):157–164
Dietrich CF, Jedrzejczyk M, Ignee A (2007) Sonographic assessment of splanchnic arteries and the bowel wall. Eur J Radiol 64(2):202–212
Ghosh S, Roberts N, Firmin RK, Jameson J, Spyt TJ (2002) Risk factors for intestinal ischaemia in cardiac surgical patients. Eur J Cardiothorac Surg 21(3):411–416
Horton KM, Fishman EK (2007) Multidetector CT angiography in the diagnosis of mesenteric ischemia. Radiol Clin N Am 45(2):275–288
Klar E, Rahmanian PB, Bücker A, Hauenstein K, Jauch KW, Luther B (2012) Acute mesenteric ischemia: a vascular emergency. Dtsch Arztebl Int 109(14):249–256. https://doi.org/10.3238/arztebl.2012.0249
Laghi A, Iannaccone R, Catalano C, Passariello R (2001) Multislice spiral computed tomography angiography of mesenteric arteries. Lancet 358(9282):638–639
Laissy JP, Trillaud H, Douek P (2002) MR angiography: noninvasive vascular imaging of the abdomen. Abdom Imaging 27(5):488–506
Lee RW, Bakken AM, Palchik E, Saad WE, Davies MG (2008) Long-term outcomes of endoluminal therapy for chronic atherosclerotic occlusive mesenteric disease. Ann Vasc Surg 22(4):541–546
Mensink PB, van Petersen AS, Geelkerken RH, Otte JA, Huisman AB, Kolkman JJ (2006) Clinical significance of splanchnic artery stenosis. Br J Surg 93(11):1377–1382
Moawad J, Gewertz BL (1997) Chronic mesenteric ischemia. Clinical presentation and diagnosis. Surg Clin North Am 77(2):357–369
Moneta GL, Lee RW, Yeager RA, Taylor LM Jr, Porter JM (1993) Mesenteric duplex scanning: a blinded prospective study. J Vasc Surg 17(1):79–84; discussion 5–6
Nienaber CA, Kische S, Zeller T, Rehders TC, Schneider H, Ince H (2006) Provisional extension to induce complete attachment after stent-graft placement in type B aortic dissection – the PETTICOAT concept. J Endovasc Ther 13:738–746
Oberhuber A, Vonend O, Radermacher J, Rump LC, Richter GM, Zeller T, Hupp T (2019) Leitlinie – S2K Erkrankungen der Nierenarterie 004–008. www.hypertonie-akademie.org
Otte JA, Huisman AB, Geelkerken RH, Kolkman JJ (2008) Jejunal tonometry for the diagnosis of gastrointestinal ischemia. Feasibility, normal values and comparison of jejunal with gastric tonometry exercise testing. Eur J Gastroenterol Hepatol 20(1):62–67
Pellerito JS, Revzin MV, Tsang JC, Greben CR, Naidich JB (2009) Doppler sonographic criteria for the diagnosis of inferior mesenteric artery stenosis. J Ultrasound Med 28(5):641–650
Schermerhorn ML, Giles KA, Hamdan AD, Wyers MC, Pomposelli FB (2009) Mesenteric revascularization: management and outcomes in the United States, 1988–2006. J Vasc Surg 50(2):341–348e1
Thomas JH, Blake K, Pierce GE, Hermreck AS, Seigel E (1998) The clinical course of asymptomatic mesenteric arterial stenosis. J Vasc Surg 27(5):840–844
Wilson DB, Mostafavi K, Craven TE, Ayerdi J, Edwards MS, Hansen KJ (2006) Clinical course of mesenteric artery stenosis in elderly americans. Arch Intern Med 166(19):2095–2100
Zeller T, Rastan A, Schwarzwälder U, Schwarz T, Frank U, Bürgelin K, Sixt S, Müller C, Rothenpieler U, Flügel PC, Pochert V, Neumann FJ (2007) Endovascular therapy of chronic mesenteric ischemia. EuroIntervention 2:444–451
Zerbib P, Lebuffe G, Sergent-Baudson G, Chamatan A, Massouille D, Lions C et al (2008) Endovascular versus open revascularization for chronic mesenteric ischemia: a comparative study. Langenbeck's Arch Surg 393(6):865–870
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Zeller, T. (2021). Mesenteriale arterielle Verschlusserkrankung. In: Hoffmann, U., Weiss, N., Czihal, M., Linnemann, B., Freisinger, E. (eds) Klinische Angiologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61379-5_198-1
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DOI: https://doi.org/10.1007/978-3-662-61379-5_198-1
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