Mesenteric ischemia is poor circulation in the vessels supplying blood flow to your mesenteric organs and usually occurs in people older than 60 years of age. Your mesenteric organs include your stomach, liver, colon and intestine. When you have decreased circulation, blockages can form and compromise the function of these organs.
Treatment options are based on whether the condition is considered sudden (acute) or chronic (ongoing). In chronic cases, minimally invasive endovascular treatment options have become the first-line approach.
When you come in to be treated for mesenteric ischemia, your doctor will talk to you about your medical history and perform diagnostic testing, which may include an ultrasound or computed tomography angiogram (CTA). The most appropriate treatment will depend on the severity of your symptoms and the cause and extent of your artery blockage. Once it is determined that you are a good candidate for an endovascular procedure and not surgery, the next step would be to schedule treatment.
Candidates for endovascular treatment often present with the following symptoms:
The goal of treatment is to re-open the artery and allow adequate blood flow to your intestine before permanent damage is done.
When you come in for your procedure, you will either have local anesthesia with sedation, or general anesthesia – whatever you and your interventional radiologist (IR) have discussed. Using image guidance the doctor will insert a long, flexible tube called a catheter that has a balloon on its tip and when inflated will open the narrowed vessel (angioplasty). In most cases, once the vessel has been re-opened the IR will place a small wire tube called a stent in your artery to keep it open.
This treatment is minimally invasive and typically performed on an outpatient basis. The procedure lasts about an hour and most patients go home the same day. If a stent is placed ultrasounds are typically performed every 6 months to ensure long term patency.
As with any procedure complications can occur, with the endovascular approach there is a chance of bleeding, inflection, renal failure and possible need to convert to an open surgery.
Whether or not you are a candidate for endovascular angioplasty and stenting will depend on your diagnosis and consultation with your interventional radiologist. But if you suffer from mesenteric ischemia and are looking for a minimally invasive treatment option, an endovascular procedure may be the answer for you. Call IVC today at 503-612-0498 to schedule an appointment for a consultation.
This is for Dr. Pfister. I just wanted to thank him for all the time he spent with us the other week. In all the years I’ve had my vascular problems I’ve never had a doctor really sit down and explain to me the intricacies of what might be going on. I have a lot to think about…but just wanted to say thanks for being so nice and answering our many questions!L.H.
A fantastic group of wonderful people. The procedure was very smooth. When they were putting the port in I felt like I was getting a great massage!! Thank you all!S.C.
Charley was instrumental in getting me scheduled in quickly to get my PICC line removed. She actually worked until late in the day to get the information from my referring doctor’s office. It is nice to know great people like Charley still exist in this world!K.S.
I had my blood clot filter removed on 2/21/18. I was very apprehensive, yet EVERYONE in Dr. Pfister’s office and surgical team helped to make me comfortable. I am extremely claustrophobic so laying down or having something covering my face creates anxiety. Mary Anne listened to my concerns and made sure I was made comfortable and did not feel anxious. The surgical team was amazing, they explained everything thoroughly. Dr. Pfister came in after the procedure to review what he did and discuss any follow up that might be required. I so appreciate the time and attention he gives me as his patient. This was a positive experience.G.H.
110% Thank You! Best unit so far in my cancer treatment. Thanks Dr. LoveAnonymous
If you ever need an Interventional Radiologist for a child I realize it is serious business. I’ve seen Dr. Love go and save a child’s kidney without missing a beat. I could recommend no one better for myself, or for people I love. I think he is a little cool at the bedside, but that’s OK Dr. Love, stay frosty! If you can’t see Dr. Love, one of the other professionals at IVC will be able to help you. Ashley, the dynamite scheduler and one of the other surgeons at IVC will care for you. I’ve had multiple surgeries with this practice over the past several years. Never a hiccup!S. R. – Portland, OR
Great experience, doctor was thorough in explaining what was going to happen. The nurses were very attentive and made sure I was comfortable and my needs were met. I would recommend this office for any related procedure.Anonymous
Everything went very smoothly. Joe enjoyed the music. Very friendly staff! Good Experience!J. & E.
All staff was courteous and efficient. Good experience.J. J.
Dr. Pfister, thanks so much for your excellent care, removing my chemo port earlier this week. With all your experience and your fine touch, I’m confident the scar will be nearly invisible. Your team, from beginning to end, did a super job with me. Please extend my gratitude to Jennifer, Mary Anne, Todd and Charley. I’ve got a whole lot of living left to do. I appreciate all of you helping me do it!M. F.
Dr. Pfister, thank you for all of the attention you gave to me. I learned lots from our discussion – hearing you speak of ultimate healing was enough to encourage me to do all I can to strengthen those muscles.S. O.
The entire office is one of the most professional, helpful and informative medical offices I have dealt with (and I have dealt with many). Kudos to Jennifer, Henry, and Charley!K. C.
Great people. Great place. Good surgery.G. G.
Patty, Mary Anne and the whole staff was amazing! Best experience I’ve had since being diagnosed with cancer. From start to finish, was great. Thanks.M
My brother came into Legacy Meridian Park, had a stroke. Dr. Bauer came in immediately, in his work jeans and shirt. He worked with Neurologist Dr. Burbank, developed a plan and took my brother into a procedure where they removed the clot from his head! Very down to earth doctor, explained procedure to family, worked with sense of urgency.J. P.
I want to comment regarding Dr. Bauer of how he was thorough explaining my CT Biopsy and showing me how on the computer he would get the tissue needed. In all the years of several surgeries I have never felt better going in to have a procedure done. His bedside manner was incredible. I wish all doctors were like Dr. Bauer. Thank you for preparing and relaxing me prior to the biopsy.R.S. Molalla OR
Everyone did a superb job taking care of me and doing the procedure. Thank You AllK.S.
Dr. Bauer genuinely cares about his patients and strives to make sure they understand every aspect of their treatment.A. L.
Dr. Bauer, our family wants you to know how thankful we are to you for saving G.P.’s life and bringing him back to us in normal health. Thank you over and over you are the best!Family of G. P.