초록 열기/닫기 버튼
저자들은 식후 악화되는 급성 하복부 통증과 혈변을 동반한 점액성 대변을 주소로 입원하여 허혈성 대장염으로 진단된 환자에서 하장간막 동맥 협착증에 대해 성공적인 그물망 삽입술을 시행하여 특별한 재발 및 합병증 없이 추적관찰 중인 환자를 경험하였기에 약물 용출성 스텐트 삽입술이 허혈성 대장염의 또 다른 치료영역이 될 수 있음을 문헌고찰과 함께 보고하는 바이다.
Mesenteric ischemia is rare and is often diagnosed late. Fatal complications or acute ischemic events can occur in the absence of proper treatment. Any sensitive and specific tests are not available for functional diagnosis of mesenteric ischemia until now. If another causes of abdominal pain and weight loss have been confidently ruled out, evidence of visceral artery occlusion at noninvasive imaging (CT angiography, Doppler US, and MR angiography) suggests mesenteric ischemia. Until the 1990s, open surgery was considered the only treatment of choice. Percutaneous transluminal angioplasty (PTA) was reserved for patients to whom surgery carried a high risk. However, open surgery carries a non-egligible risk of morbidity and mortality. In recent years, PTA with stent placement has been recognized as a minimal invasive treatment option for obtaining good long term results with an acceptable recurrence rate and consequently has been suggested for primary treatment of mesenteric ischemia. We describe the successful application of PTA to the inferior mesenteric artery stenosis by using drug eluting stent.
키워드열기/닫기 버튼
Ischemic colitis, Stents, Mesenteric artery
