Abstract
Chronic mesenteric ischemia is a relatively uncommon disorder, accounting for <1 per 100,000 hospital admissions in the United States. Prophylactic revascularization is not recommended in patients with either renal or mesenteric artery disease. Treatment is indicated in select patients who present with symptoms of chronic mesenteric ischemia, such as intestinal angina, weight loss, and fear of food. The combination of angioplasty and stenting has become the first line of treatment and is associated with lower mortality and morbidity compared with open surgical reconstruction. Open surgical reconstruction is currently relegated to patients who are not candidates or fail endovascular therapy and those with recalcitrant, recurrent in-stent stenosis, or occlusion. The aim of this chapter is to summarize the most common intraprocedural and postoperative complications of mesenteric angioplasty and stenting for mesenteric and renal artery disease.
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