Abstract
There are a number of conditions can impair the blood supply to the kidneys and mesentery, although atherosclerosis is the most common etiology. Additional possibilities include emboli, in situ thrombosis, extrinsic compression, dissection and fibromuscular dysplasia. The first step to diagnosing mesenteric vascular disease is to recognize that there is altered flow to the kidney or mesentery.
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Khangura KK, Eirin A, Kane GC, Misra S, Textor SC, Lerman A, et al. Extrarenal atherosclerotic disease blunts renal recovery in patients with renovascular hypertension. J Hypertens. 2014;32(6):1300–6.
Khoury MH, Gornik HL. Fibromuscular dysplasia (FMD). Vasc Med (UK). 2017;22(3):248–52.
Bilateral renal infarct in otherwise healthy man. Am J Kidney Dis. 2014;63(5):A1–A121
Whelton PK, Carey RM, Aronow WS, Ovbiagele B, Casey DE, Smith SC, et al. 2017 Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. A report of the American College of Cardiology/American Heart Association T. American College of Cardiology Foundation and the American Heart Association. 2017.
Bavishi C, Bangalore S, Messerli FH. Outcomes of intensive blood pressure lowering in older hypertensive patients. J Am Coll Cardiol. 2017;69(5):486–93.
Sarkodieh JE, Walden SH, Low D. Imaging and management of atherosclerotic renal artery stenosis. Clin Radiol. 2013;68:627–35.
Trinquart L, Mounier-Vehier C, Sapoval M, Gagnon N, Plouin PF. Efficacy of revascularization for renal artery stenosis caused by fibromuscular dysplasia: a systematic review and meta-analysis. Hypertension. 2010;56:525–32.
Cooper CJ, Murphy TP, Cutlip DE, Jamerson K, Henrich W, Reid DM, et al. Stenting and medical therapy for atherosclerotic renal-artery stenosis. N Engl J Med. 2014;370:13–22.
Tendera M, Aboyans V, Bartelink M-L, Baumgartner I, Clément D, Collet J-P, et al. ESC Guidelines on the diagnosis and treatment of peripheral artery diseases. Eur Heart J [Internet]. 2011;32(22):2851–906.. http://eurheartj.oxfordjournals.org/content/32/22/2851
Aboyans V, Ricco JB, Bartelink MLEL, Björck M, Brodmann M, Cohnert T, et al. 2017 ESC guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European Society for Vascular Surgery (ESVS). Eur Heart J. 2018;39(9):763–816.
Klausner JQ, Lawrence PF, Harlander-Locke MP, Coleman DM, Stanley JC, Fujimura N. The contemporary management of renal artery aneurysms. J Vasc Surg. 2015;61(4):978–84.
Wyers MC. Acute mesenteric ischemia: diagnostic approach and surgical treatment. Semin Vasc Surg. 2010;23:9–20.
Singh M, Long B, Koyfman A. Mesenteric ischemia: a deadly miss. Emerg Med Clin N Am. 2017;35(4):879–88.
Martinez JP, Hogan GJ. Mesenteric ischemia. Emerg Med Clin N Am. 2004;22(4):909–28.
Carver TW, Vora RS, Taneja A. Mesenteric ischemia. Crit Care Clin. 2016;32(2):155–71.
Luckner G, Jochberger S, Mayr VD, Knotzer H, Pajk W, Wenzel V, et al. Vasopressin as adjunct vasopressor for vasodilatory shock due to non-occlusive mesenteric ischemia. Anaesthesist. 2006;55(3):283–6.
Yoshida T, Kikuchi O, Tsuji Y, Okumura A, Matsueda K, Yamamoto H. Non-occlusive mesenteric ischemia diagnosed by angiography at the beginning of continuous regional arterial infusion therapy is a strong predictive factor for mortality due to severe acute pancreatitis. Gastroenterology. 2012;142:S-851.
Harnik IG, Brandt LJ. Mesenteric venous thrombosis. Vasc Med. 2010;15(5):407–18.
Wu J, Li Z, Wang Z, Han X, Ji F, Zhang WW. Surgical and endovascular treatment of severe complications secondary to noncirrhotic portal hypertension: experience of 56 cases. Ann Vasc Surg. 2013;27(4):441–6.
Chawla YK, Bodh V. Portal vein thrombosis. J Clin Exp Hepatol. 2015;5:22–40.
Biolato M, Miele L, Gasbarrini G, Grieco A. Abdominal angina. Am J Med Sci. 2009;338(5):389–95.
Zeller T, Rastan A, Sixt S. Chronic atherosclerotic mesenteric ischemia (CMI). Vasc Med. 2010;15(4):333–8.
Vos JA, de Vries JPPM, van Strijen MJL. Endovascular management of chronic mesenteric ischemia. In: endovascular interventions: a case-based approach. 2014.
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Gerhard-Herman, M., Aday, A. (2020). Renal and Mesenteric Disease. In: Manual of Vascular Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-44715-1_5
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DOI: https://doi.org/10.1007/978-3-030-44715-1_5
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