Single vessel abdominal arterial disease
The long-standing discussion concerning the mere existence of single vessel abdominal artery disease can be closed: chronic gastrointestinal ischaemia (CGI) due to single vessel abdominal artery stenosis exists, can be treated successfully and in a safe manner. The most common causes of single vessel CGI are the coeliac artery compression syndrome (CACS) in younger patients, and atherosclerotic disease in elderly patients. The clinical symptoms of single vessel CGI patients are postprandial and exercise-related pain, weight loss, and an abdominal bruit. The current diagnostic approach in patients suspected of single vessel CGI is gastrointestinal tonometry combined with radiological visualisation of the abdominal arteries to define possible arterial stenosis. Especially in single vessel abdominal artery stenosis, gastrointestinal tonometry plays a pivotal role in establishing the diagnosis CGI. First-choice treatment of single vessel CGI remains surgical revascularisation, especially in CACS. In elderly or selected patients endovascular stent placement therapy is an acceptable option.
|Keywords||abdominal arterial atherosclerosis, abdominal arterial inflammatory disease, abdominal arterial stenosis, artery disease, artery dissection, artery occlusion, article, atherosclerosis, celiac artery stenosis, chronic disease, chronic gastrointestinal ischaemia, clinical feature, coeliac artery compression syndrome, diagnostic approach route, drug megadose, dysplasia, endovascular surgery, exercise, familial fibromuscular dysplasia, glucocorticoid, human, immunosuppressive agent, inflammatory disease, interventional radiology, intestine ischemia, mesenteric vessel disease, pain, pathophysiology, percutaneous transluminal angioplasty, postprandial state, prevalence, revascularization, single vessel abdominal arterial disease, stent, steroid, symptom, thromboembolism, tonometry, vasculitis, weight reduction|
|Persistent URL||dx.doi.org/10.1016/j.bpg.2008.11.012, hdl.handle.net/1765/18483|
van Noord, D, Kuipers, E.J, & Mensink, P.B.F. (2009). Single vessel abdominal arterial disease. Best Practice and Research in Clinical Gastroenterology, 23(1), 49–60. doi:10.1016/j.bpg.2008.11.012