نقص التروية المزمن المتكرر للأمعاء بعد فشل إعادة التوعية عبر الأوعية الدقيقة

References

DOI: 10.3390/jcm13051217

• Patients may develop recurrent stenoses and/or recurrent symptoms after both endovascular and open revascularization for CMI.
• In patients with recurrent symptoms of CMI, we recommend remedial treatment as recommended for the de novo lesions.
• We suggest that the choice of revascularization for recurrent stenoses should be similar to the de novo lesions with the endovascular approach recommended as the initial option and open revascularization reserved for lesions not amenable to the endovascular approach.
• The remedial open revascularizations can be facilitated by using an alternative inflow source to avoid some of the challenges associated with a reoperative field (ie, convert failed retrograde bypass to antegrade bypass or vice versa).
• We recommend revascularization in patients with CMI to reverse their presenting symptoms (ie, weight loss, food fear, diarrhea, postprandial pain) and improve their overall quality of life.