{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:51:05Z","timestamp":1777942265010,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2004,11,1]],"date-time":"2004-11-01T00:00:00Z","timestamp":1099267200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2004,11]]},"abstract":"<jats:p>A retrospective review of patients treated with a history of chronic visceral ischemia (CVI) was made to determine primary patency of open surgical repair and estimated symptom-free survival. Patients with CVI between 1990 and 2003 were reviewed. Included were those with chronic symptoms alone (C-CVI) and acute-on-chronic symptoms (A-CVI). Data were obtained from a vascular database. Symptom-free survival and graft patency were estimated by using product limit estimates. Fifty-eight patients (13 men, 45 women; mean age: 63 years) were treated surgically for C-CVI (34 patients) and A-CVI (24 patients). All patients had postprandial abdominal pain and weight loss (mean: 17 kg). One fourth reported food fear. Preoperative imaging demonstrated disease of the superior mesenteric artery (SMA) (100%; 64% occluded), celiac axis (89%; 37% occluded), and inferior mesenteric artery (IMA) (54%; 60% occluded). Multiple vessels were involved in 95% of patients (mean: 2.3 vessels\/patient). Operative management included antegrade revascularization of 80 vessels. Combined aortic and\/or renal procedures were performed in 7 patients. Patient demographics and visceral disease did not differ for C-CVI and A-CVI; however, perioperative mortality differed significantly (10% for C-CVI vs 54% for A-CVI [p&lt;0.001]). Intestinal gangrene at presentation was associated with perioperative (hazard ratio [HR]: 7.6; 95% CI: 2.7\u201321.6; p=0.0002) and follow-up death (HR: 7.8; CI 2.8\u201321.9; p&lt; 0.0001). Follow-up (mean: 34 months) was complete for 54\/68 vessels (79%). Estimated primary and primary assisted patency at 5 years were 81% and 89% respectively. Estimated symptom-free survival for hospital survivors was 57% at 70 months. Open antegrade methods of visceral artery repair for CVI were durable and associated with 57% symptom-free survival at 70 months. Patient demographics and distribution of visceral artery anatomy were similar; however, perioperative mortality for C-CVI and A-CVI differed dramatically. Improved outcomes for A-CVI require recognition and treatment of CVI before onset of intestinal gangrene.<\/jats:p>","DOI":"10.1177\/153857440403800602","type":"journal-article","created":{"date-parts":[[2006,3,31]],"date-time":"2006-03-31T16:34:30Z","timestamp":1143822870000},"page":"493-503","source":"Crossref","is-referenced-by-count":24,"title":["Chronic Visceral Ischemia: Symptom-Free Survival After Open Surgical Repair"],"prefix":"10.1177","volume":"38","author":[{"given":"William P.","family":"English","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey D.","family":"Pearce","sequence":"additional","affiliation":[{"name":"Winston-Salem, NC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy E.","family":"Craven","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, 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