To the Editor.—In the article by Zelenock et al entitled "Splanchnic Arteriosclerotic Disease and Intestinal Angina" (Archives 1980;115:497-501), I was surprised that neither the authors of this report nor the discussants considered percutaneous transluminal angioplasty as a therapeutic modality.
The authors found 56 celiac and mesenteric arteries that were either occluded or stenotic in 23 patients. Although percutaneous transluminal angioplasty could not be used in the completely occluded arteries, the success obtained by use of the Grüntzig balloon catheter in coronary, iliac, femoral, and renal stenosis1-5 suggests that it would be just as successful in the mesenteric circulation. In view of the relatively noninvasive nature of angioplasty, I believe that it has a potential role in the treatment of intestinal angina.
WEINER PL. Transluminal Angioplasty and Mesenteric Circulation. Arch Surg. 1981;116(2):252. doi:10.1001/archsurg.1981.01380140096032