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Reinterventions for stent restenosis in patients treated for atherosclerotic mesenteric artery disease  Tiziano Tallarita, MD, Gustavo S. Oderich, MD,

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Presentation on theme: "Reinterventions for stent restenosis in patients treated for atherosclerotic mesenteric artery disease  Tiziano Tallarita, MD, Gustavo S. Oderich, MD,"— Presentation transcript:

1 Reinterventions for stent restenosis in patients treated for atherosclerotic mesenteric artery disease  Tiziano Tallarita, MD, Gustavo S. Oderich, MD, Thanila A. Macedo, MD, Peter Gloviczki, MD, Sanjay Misra, MD, Audra A. Duncan, MD, Manju Kalra, MBBS, Thomas C. Bower, MD  Journal of Vascular Surgery  Volume 54, Issue 5, Pages e1 (November 2011) DOI: /j.jvs Copyright © Terms and Conditions

2 Fig 1 Duplex ultrasound peak systolic velocity (PSV) measurements obtained prior to the first reintervention (yellow box) and in the early (green box) and late (blue box) follow-up after treatment of a mesenteric in-stent restenosis. Note that in a few patients, the PSV remained elevated above our threshold of >330 cm/s. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © Terms and Conditions

3 Fig 2, online only Location of restenosis in 30 patients who underwent interventions for mesenteric in-stent restenoses. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © Terms and Conditions

4 Fig 3 Technique of redo stenting using a covered stent. After diagnostic angiography, which depicted the in-stent stenosis (A), the lesion was crossed with a inch wire system and a 7F sheath was advanced across the area of stenosis. The covered stent was positioned under protection of the sheath to avoid stent dislodgement. The stent was expanded to profile and a completion angiography confirmed no residual stenosis (B). Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © Terms and Conditions

5 Fig 4 Open reconstruction of a long superior mesenteric artery (SMA) occlusion (A) using a supraceliac aorta to SMA bypass (B). Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © Terms and Conditions

6 Fig 5 Kaplan-Meier estimates of freedom from symptom recurrence (black), reintervention (blue), and restenosis (red) at 2 years. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © Terms and Conditions

7 Fig 6 Kaplan-Meier estimates of secondary patency rates at 2 years for 26 patients treated with redo endovascular interventions for mesenteric in-stent restenosis. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © Terms and Conditions

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