{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:18Z","timestamp":1740126798336,"version":"3.37.3"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rofo"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>\n            Purpose\u2002Endovascular treatment has emerged as the gold standard for managing chronic mesenteric ischemia (CMI) resulting from arterial stenosis or occlusion. This study aimed to assess the efficacy and complication rates of continuous interventional radiology treatment for CMI in Germany between 2018 and 2021, comparing these findings with international quality standards.<\/jats:p><jats:p>\n            Materials and Methods\u2002Data for CMI therapy with stenting and percutaneous transluminal angioplasty (PTA) was obtained from the quality management system of the German Interventional Radiological Society (DeGIR). A total of 3752 endovascular procedures for CMI performed from 2018 to 2021 were documented (PTA: n\u200a=\u200a675; stenting: n\u200a=\u200a3077). Data was analyzed for technical and clinical success rates, as well as major complication rates.<\/jats:p><jats:p>\n            Results\u2002Overall technical and clinical success rates for PTA and stenting procedures were 92.03\u200a%\/85.9\u200a% and 98.76\u200a%\/96.62\u200a%, respectively. The most common major complications were: arterial occlusion (PTA: 0.73\u200a%; stenting: 0.63), major bleeding (PTA: 1.05\u200a%; stenting: 0.68\u200a%), aneurysm formation (PTA: 0.29\u200a%; stenting: 0.72\u200a%), stent dislodgment (PTA: 0\u200a%; stenting: 0.06\u200a%), and organ failure (PTA: 0.43\u200a%; stenting: 0.96\u200a%). Technical and clinical success rates were higher, while complication rates were lower than the corresponding threshold recommended by the Society of Interventional Radiology for the percutaneous management of chronic mesenteric ischemia.<\/jats:p><jats:p>\n            Conclusion\u2002Treatment of CMI performed by interventional radiologists in Germany is safe and effective during daily and on-call shifts with results exceeding internationally accepted standards.<\/jats:p><jats:p>\n            Key Points\u2002<\/jats:p><jats:p>\n            Citation Format\n          <\/jats:p>","DOI":"10.1055\/a-2258-3437","type":"journal-article","created":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T23:52:57Z","timestamp":1708991577000},"page":"1155-1160","source":"Crossref","is-referenced-by-count":1,"title":["Retrospective evaluation of interventional radiological treatments for chronic mesenteric ischemia in Germany based on a four-year period of the DeGIR Registry: comparison of outcomes with international quality standards"],"prefix":"10.1055","volume":"196","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2106-9548","authenticated-orcid":false,"given":"Moritz B.","family":"Bastian","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital of Gie\u00dfen and Marburg Campus Marburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0273-2183","authenticated-orcid":false,"given":"Joel","family":"Wessendorf","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital of Gie\u00dfen and Marburg Campus Marburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Scheschenja","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital of Gie\u00dfen and Marburg Campus Marburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8874-7664","authenticated-orcid":false,"given":"Alexander Marc","family":"K\u00f6nig","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital of Gie\u00dfen and Marburg Campus Marburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Nadjiri","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Klinikum rechts der Isar der Technischen Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas H.","family":"Mahnken","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital of Gie\u00dfen and Marburg Campus Marburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,2,26]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"87S","DOI":"10.1016\/j.jvs.2020.10.029","article-title":"Chronic mesenteric ischemia: Clinical practice guidelines from the Society for Vascular Surgery","volume":"73","author":"T S Huber","year":"2021","journal-title":"J Vasc Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1056\/NEJMra1503884","article-title":"Mesenteric Ischemia","volume":"374","author":"D G Clair","year":"2016","journal-title":"N Engl J Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1598","DOI":"10.1016\/j.jvs.2017.12.046","article-title":"A systematic review and meta-analysis of endovascular versus open surgical revascularization for chronic mesenteric ischemia","volume":"67","author":"F Alahdab","year":"2018","journal-title":"J Vasc Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/s11894-020-0754-x","article-title":"Review Article: Mesenteric Ischemia","volume":"22","author":"K Gnanapandithan","year":"2020","journal-title":"Curr Gastroenterol Rep"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1177\/2050640620916681","article-title":"European guidelines on chronic mesenteric ischaemia \u2013 joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric ischaemia","volume":"8","author":"L G Terlouw","year":"2020","journal-title":"United European Gastroenterol 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Germany \u2013 An Analysis of the DeGIR Registry Data","volume":"194","author":"J Nadjiri","year":"2022","journal-title":"Fortschr R\u00f6ntgenstr"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1055\/a-1150-8087","article-title":"Availability of Transcatheter Vessel Occlusion Performed by Interventional Radiologists to Treat Bleeding in Germany in the Years 2016 and 2017 \u2013 An Analysis of the DeGIR Registry Data","volume":"192","author":"J Nadjiri","year":"2020","journal-title":"Fortschr R\u00f6ntgenstr"}],"container-title":["R\u00f6Fo - Fortschritte auf dem Gebiet der R\u00f6ntgenstrahlen und der bildgebenden Verfahren"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2258-3437.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T14:41:18Z","timestamp":1730817678000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2258-3437"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,26]]},"references-count":16,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,10,25]]},"published-print":{"date-parts":[[2024,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2258-3437","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1438-9029","1438-9010"],"issn-type":[{"type":"print","value":"1438-9029"},{"type":"electronic","value":"1438-9010"}],"subject":[],"published":{"date-parts":[[2024,2,26]]}}}