Endovascular revascularization of acute arterial mesenteric ischemia: Report of a 3-year experience from an intestinal stroke center unit
Abstract
Objective To report the 3-year experience of endovascular revascularization of acute arterial mesenteric ischemia (AMI) from an intestinal stroke center unit (ISCU).Method All data from patients admitted to the ISCU between January 2016 and January 2019 for arterial AMI who underwent endovascular recanalization were prospectively acquired and retrospectively analyzed. Patient demographics, clinical and laboratory characteristics at presentation, and CT scans were reviewed. The type (thrombolysis, thrombectomy, stenting) and the outcome of endovascular procedures (technical success or failure, complications) were noted. Care pathways were described focusing on post-procedural treatments (surgical revascularization, bowel resection) and the mortality rate was evaluated in subgroups.Results Fifty-eight patients (34 men [59%], mean 69 ± 29 years) were included. Endovascular revascularization was technically successful in 51/58 (88%) patients, and 10 (17%) patients had post-procedural complications. Stenting and in situ thrombolysis were performed in most patients (n = 33 and n = 19, respectively). Thirty-two patients (55%) were recurrence-free and required no further treatment after the procedure, while 9 (16%), 5 (9%), and 5 (9%) patients underwent 2nd-line bowel resection, surgical revascularization, or both. Overall, 46 (79%), 45 (78%), and 34 patients (63%) were alive at 3 months, 1 year, and 3 years. No significant difference in survival was found in care pathways or baseline characteristics.Conclusion Endovascular revascularization is highly feasible for the treatment of arterial AMI, and is associated with an acceptable rate of complications. Results of endovascular revascularization shall only be interpreted as part of a multidisciplinary patient management strategy.Key points • Endovascular revascularization is highly feasible for the treatment of arterial AMI, and is associated with an acceptable rate of complications. • Several techniques are available to perform endovascular revascularization, and their use depends on the cause, the location, and the quality of underlying arteries of patients. • Results of endovascular revascularization shall only be interpreted in relation to its role in an integrated multidisciplinary and patient management strategy.
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Endovascular recanalization interventions have demonstrated promising survival rates at 3 months, 1 year, and 3 years.
“These interventions have also demonstrated promising survival rates at three months, one year, and 3 years [54].”
From Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review (2024) · cites this paper as [54]
Retrospective analyses show excellent technical success rates and low postprocedural complication rates for endovascular recanalization.
“Retrospective analyses of patients undergoing endovascular recanalization have shown excellent technical success rates and low postprocedural complication rates [54].”
From Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review (2024) · cites this paper as [54]
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Self-citation
- Authors
- Najdawi, M., Garzelli, L., Nuzzo, A., Huguet, A., Raynaud, L., Paulatto, L., Panis, Y., Ben Abdallah, I., Castier, Y., Sibert, A., Vilgrain, V., Corcos, O., & Ronot, M.
- Affiliations
- Hôpital Beaujon (FR)
- Inserm (FR)
- Université Paris Cité (FR)
- Corresponding author
- Ronot, Maxime
- ORCID
- Venue
- European Radiology
- Published
- 2022-03-08
- Volume
- 32
- Issue
- 8
- Pages
- 5606-5615
- ISSN
- 0938-7994 (ISSN-L)
- 1432-1084
- OpenAlex
- W4220665275
- Cited by
- 38
- References
- 21
- Citations by year
- 2026: 9 · 2025: 7 · 2024: 13 · 2023: 6 · 2022: 3
- FWCI
- 6.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Radiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Thrombus and Embolism
- Keywords
- endovascular revascularization, mechanical thrombectomy, post-procedural complications, bowel resection, surgical revascularization, mortality, multidisciplinary management
- MeSH terms
- Humans, Male, Retrospective Studies, Risk Factors, Time Factors, Stents, Treatment Outcome, Mesenteric Artery, Superior, Stroke, Endovascular Procedures, Mesenteric Ischemia
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