1. Results ASA score: Epidemiological data: 8 patients: 7 men and 1 woman
Mean age: 62 years ( )
Cardiovascular risk factors:
Hypertension: 75% (6), Smoking 62.5% (5), Diabetes: 37.5% (3)
Dyslipidemia: 37.5% (3), Obesity: 25% (2)
History of chronic mesenteric ischemia: 50% (4)
Associated atheromatous disease:
Lower Limb arteritis: 62.5% (5), Coronary: 25% (2)
ASA score:
Score 4: 25% (2), Score 3: 62.5% (5)
Score 2: 12.5% (1)

2. Results Clinical data: Biological Data: Abdominal pain: 100% (8)
Defense: 75% (6)
Circulatory collapse: 12.5% (1)
Biological Data:
Leukocytosis: 100% (8)
Inflammatory syndrome: 100% (8)
The venous lactate was assessed in only one patient (increased).

3. Results Abdominal AngioCT data: Pneumatosis intestinalis: 25% (2)
Portal venous gas: 12.5% (1)
Arterial occlusion
SMA occlusion alone: 87.5% (7)
Occlusion SMA and IMA: 12.5% (1)

4. Results Endovascular treatment: Technical success: 100%
Balloon angioplasty + stenting: 75% (6), including 1 patient with SMA and IMA stenting
Balloon angioplasty SMA: 12.5% (1)
Balloon angioplasty + stenting + Fibrinolysis in situ: 12.5% (1)
Heparin in situ : 100% (3000 IU)
Technical success: 100%
Endovascular procedure-related complication: 0%

5. Male, 62 years old, occlusive syndrome
Department   of   Radiology,   CHU Gabriel Montpied,   Clermont-Ferrand 2010
Bowel distension, arcuate ligament, proximal occlusion of the SMA

6. Angioplasty and Stenting SMA
Department   of   Radiology,   CHU Gabriel Montpied,   Clermont-Ferrand 2010
SMA Oclusion
CT arcuate ligament
Final control
after stenting
SMA Catheterization

7. Results Secondary surgery: 37.5% (3)
66.7% (2 / 3) for initial adbominal guarding, severe sepsis and severe CT findings (pneumatosis intestinalis)
In 2 patients: extensive resection of the small bowel
Third patient: ileo-caecal resection with colostomy at D0 for bowel necrosis depicted on second look laparoscopy
Additional medical treatment recommended:
Heparin for 72 hours
Antiplatelet agent for 6 months
Death: 25% (2)
These were the same 2 patients with pneumatosis intestinalis on CT scan
Day 4 and Day 26
By multiorgan failure

8. Results
Delay onset of pain/revascularisation procedure: 14 hours (4-48)
Delay CT scan / revascularization: 2 hours (2-12)
The 2 patients with pneumatosis intestinalis on CT severity died and had a revascularization delay superior to 24 hours
Hospital stay:
Patients treated with angioplasty alone, 8 days
Angioplasty + surgery : 26 days
Complication: 1 ileocecal stenosis with occlusive syndrome, treated medically, 60 days after percutaneous revascularization without surgery

9. Results Follow-up CT D30: 100% (6)
Splanchnic arterial permeability : 100%
No reccurrence until August 2009 (end of study)
Mean follow up of 6 patients: 24.5 months (12-68 months)

10. 50 years old man with abdominal pain for 4 hours
Initial CT
Department   of   Radiology,   CHU Gabriel Montpied,   Clermont-Ferrand 2010
SMA oclusion

11. SMA Angioplasty & Stenting 2 hours after CT scan
Department   of   Radiology,   CHU Gabriel Montpied,   Clermont-Ferrand 2010
Final control
after stenting
SMA oclusion
SMA catheterism

12. 6 months follow-up
Department   of   Radiology,   CHU Gabriel Montpied,   Clermont-Ferrand 2010