Acute mesenteric ischemia: endovascular therapy
Abstract
Acute mesenteric ischemia (AMI) is an abdominal emergency with a high mortality. Prompt revascularization can prevent intestinal infarction and reduce mortality. We report three cases of acute occlusive mesenteric ischemia without signs of intestinal necrosis, which were successfully managed with endovascular interventions. Mechanical thrombus fragmentation was performed and underlying chronic stenoses were treated with stent implantation. All the patients had pain relief immediately after the procedure, and none of them required surgery for bowel resection. The patients remained symptom free during a follow-up of 12-16 months. We suggest that endovascular treatment is a feasible option in patients with AMI and can prevent intestinal infarction.
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A few small case series have reported PTA/S use in AMI.
“Several small case series have described using PTA/S for treatment of AMI.18–22”
From Mesenteric revascularization: management and outcomes in the United States, 1988-2006 (2009) · cites this paper as [19]
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- Authors
- Demirpolat, G., Oran, I., Tamsel, S., Parildar, M., & Memis, A.
- Venue
- Abdominal Imaging
- Published
- 2006-09-12
- Volume
- 32
- Issue
- 3
- Pages
- 299-303
- ISSN
- 0942-8925 (ISSN-L)
- 1432-0509
- OpenAlex
- W1980032419
- Cited by
- 35
- References
- 12
- Citations by year
- 2026: 1 · 2021: 1 · 2019: 1 · 2018: 1 · 2017: 2 · 2014: 3 · 2013: 4 · 2012: 2
- FWCI
- 2.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Abdominal Imaging (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Emergency Medicine › Appendicitis Diagnosis and Management
- Health Sciences › Medicine › Surgery › Intestinal and Peritoneal Adhesions
- Keywords
- acute mesenteric ischemia, endovascular treatment, stenting, abdominal emergencies
- MeSH terms
- Acute Disease, Adult, Aged, Angioplasty, Balloon, Female, Humans, Male, Mesenteric Arteries, Mesenteric Vascular Occlusion, Radiography, Thrombosis, Stents
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