Condition: Chronic Mesenteric Ischemia · Ischemia, Mesenteric · Sponsor: Erasmus Medical Center
Chronic mesenteric ischemia (CMI) is an incapacitating disease with a vast impact on quality of life due to severe abdominal pain after a meal, resulting in fear of eating and subsequent weight loss. CMI is most frequently caused by an atherosclerotic mesenteric artery stenosis, which is a frequent finding in the general population (6-29%). CMI is less prevalent due to an extensive collateral circulation protecting the gut against ischemia. Hence, imaging alone cannot be relied upon, making the diagnosis of CMI challenging. Treatment decisions for atherosclerotic CMI are currently based on history, stenosis severity on imaging, and signs of mesenteric ischemia during a functional test. Yet, sufficiency of the collateral circulation cannot be assessed, resulting in substantial failure to recover from symptoms after stentplacement (27-31% in single vessel disease), unnecessary complications, and avoidable healthcare expenses. A retrospective cohort study by van Dijk et al. reports that intra-arterial pressure measurements could predict clinical success of mesenteric artery revascularization with an 86% sensitivity and 83% specificity, indicating that mesenteric artery pressure measurements could be a highly desired and promising tool for the assessment of hemodynamic and clinical relevance of a mesenteric artery stenosis. Which is sensible, since pressure gradients will only occur when both a severe mesenteric artery stenosis and an insufficient collateral circulation are pres…
This description comes directly from the study's public registry record.
Eva Karina Bocharewicz, PhD Candidate · +31652216196 · e.bocharewicz@erasmusmc.nl
Always discuss trial participation with your own doctor first.
| Medisch Spectrum Twente | Enschede, Overijssel, Netherlands | Not Yet Recruiting |
| Erasmus University Medical Centre Rotterdam | Rotterdam, South Holland, Netherlands | Recruiting |
| Franciscus | Rotterdam, South Holland, Netherlands | Recruiting |
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Source record: clinicaltrials.gov/study/NCT07059520