Intraoperative retrograde mesenteric angioplasty for acute occlusive mesenteric ischaemia: a case series
Open accessAbstract
Acute mesenteric ischaemia secondary to atherosclerotic disease of the superior mesenteric artery is a surgical emergency associated with a poor prognosis, and requires prompt diagnosis and early revascularisation in order to improve outcome. The traditional management of surgical resection of necrotic bowel plus mesenteric revascularisation by surgical bypass is associated with significant morbidity and mortality. We describe the use of a combined surgical and endovascular approach, using intraoperative retrograde superior mesenteric angioplasty at the time of laparotomy. Four patients have been treated by this combined technique with three surviving, although one subsequently required an open surgical revascularisation procedure.
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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 [21]
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References 3 · Cited by 41
- Authors
- Moyes, L. H., McCarter, D. H. A., Vass, D. G., & Orr, D. J.
- Affiliations
- Glasgow Royal Infirmary (GB)
- Corresponding author
- Moyes, L.H.
- Venue
- European Journal of Vascular and Endovascular Surgery
- Publisher
- Elsevier BV
- Published
- 2008-08
- Volume
- 36
- Issue
- 2
- Pages
- 203-206
- ISSN
- 1078-5884 (ISSN-L)
- OpenAlex
- W2030901424
- Cited by
- 41
- References
- 3
- Citations by year
- 2021: 3 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 6 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 1 · 2012: 3
- FWCI
- 5.58
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- European Journal of Vascular and Endovascular Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Thrombus and Embolism
- Health Sciences › Medicine › Surgery › Vascular anomalies and interventions
- Keywords
- acute mesenteric ischemia, superior mesenteric artery occlusion, endovascular revascularization, atherosclerosis, necrotic bowel
- MeSH terms
- Adult, Aged, Angioplasty, Balloon, Female, Humans, Intestines, Ischemia, Ligation, Male, Mesenteric Vascular Occlusion, Middle Aged, Radiography, Reoperation, Digestive System Surgical Procedures, Time Factors, Vascular Surgical Procedures, Stents, Treatment Outcome, Mesenteric Artery, Superior
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