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Research Article| Volume 164, ISSUE 3, P220-224, September 1992

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Influence of complete revascularization on chronic mesenteric ischemia

  • Author Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
    Molly K. McAfee
    Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
    Affiliations
    Rochester, Minnesota, USA
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  • Author Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
    Kenneth J. Cherry Jr.
    Correspondence
    Requests for reprints should be addressed to Kenneth J. Cherry, Jr., MD, 200 First Street, Southwest, Mayo Clinic, Rochester, MN 55905.
    Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
    Affiliations
    Rochester, Minnesota, USA
    Search for articles by this author
  • Author Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
    James M. Naessens
    Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
    Affiliations
    Rochester, Minnesota, USA
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  • Author Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
    Peter C. Pairolero
    Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
    Affiliations
    Rochester, Minnesota, USA
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  • Author Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
    John W. Hallett Jr.
    Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
    Affiliations
    Rochester, Minnesota, USA
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  • Author Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
    Peter Gloviczki
    Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
    Affiliations
    Rochester, Minnesota, USA
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  • Author Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
    Thomas C. Bower
    Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
    Affiliations
    Rochester, Minnesota, USA
    Search for articles by this author
  • Author Footnotes
    1 From the Division of Vascular Surgery, Department of Surgery, and theSection of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
      This paper is only available as a PDF. To read, Please Download here.
      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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