Purpose: to report our short and long term results of endovascular intervention in hemodialytic patients with chronic abdominal angina
Materials and methods: during 10 years, 5 patients (3 female and 2 male, age 52-87) underwent 7 endovascular interventions at our institution in the SMA or Celiac arteries. Primary stenting of the stenotic lesions in one vessel was performed in all patients and secondary intervention with balloon angioplasty. Patients underwent clinical, laboratorial and imaging follow-up.
Results: No major or minor complications had occurred, immediate clinical, laboratory and gain weight was achieved in all. In 2 patients clinical symptoms recurred due to in-stent restenosis that were retreated successfully.
Conclusions: Chronic Mesenteric Ischemia is not rare in HD patient and should be included in the differential diagnosis of chronic abdominal pain in these patients. Endovascular intervention should be considered as a first option even in this high-risk group of patients and can be repeated.
