Percutaneous angioplasty for a case of chronic mesenteric ischemia: An alternative to surgical Revascularisation

Chronic Mesenteric Ischemia is a manifestation of atherosclerotic disease in the mesenteric blood vessels. It can be treated percutaneously. And the endovascular intervention of mesenteric blood vessels has surpassed surgical revascularisation over the past decade due to its lesser peri operative complication rate. Trans-femoral approach of revascularising is limited by its difficulty in coaxial alignment of the guiding catheter and hence brachial artery and recently the Radial approach have been utilized for mesenteric artery revascularisation for over a decade. We presented a case of abdominal angina which had developed in an elderly 74 years male with an associated severe abdominal aortic disease, finally treated by angioplasty. Both Celiac artery and Superior mesenteric artery are stented with same sized 6 X 24 mm Stents. Percutaneous revascularisation via the left brachial artery for the two major abdominal visceral vessels was high lightened in this case.