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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.
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Article info
Footnotes
**Presented at the 20th Annual Meeting of the Society for ClinicalVascular Surgery, Orlando, Florida, March 25–29, 1992.
Identification
Copyright
© 1992 Reed Publishing USA. Published by Elsevier Inc.
