Endovascular Revascularization as Primary Treatment for Acute Embolic Mesenteric Ischemia: Stent Thrombectomy plus Aspiration versus Aspiration Alone
Abstract
Purpose To investigate the outcomes of stent thrombectomy combined with aspiration versus aspiration alone in acute mesenteric ischemia (AMI).Materials and methods This was a single-center, retrospective cohort study. Between May 1, 2012, and January 1, 2021, 41 patients (mean age, 73.8 years ± 7.9) with AMI who underwent stent thrombectomy plus aspiration (Group 1, n = 14) or aspiration alone (Group 2, n = 27) were included. The treatment regimens and clinical and follow-up outcomes of the patients were reviewed and analyzed. Group differences were compared using a χ 2 test, Fisher exact test, independent t test, or Mann-Whitney U test. The cumulative survival rate was calculated using a Kaplan-Meier curve.Results The overall clinical success rate was 78.0% (32/41), and no significant differences were found between Group 1 and Group 2 (78.6% vs 77.8%, P = 1.00). Compared with Group 2, Group 1 was associated with a higher complete clearance rate (44.4% vs 78.6%, P = .04), less adjunctive local thrombolysis (48.1% vs 14.3%, P = .03), and a shorter length of hospital stay (10.7 days ± 9.0 vs 5.7 days ± 4.7, P = .03). The estimated survival rates at 1 month, 3 months, 6 months, 1 year, and 2 years were 73.2%, 72.5%, 71.4%, 65.3%, and 59.8%, respectively. No significant difference was found in the survival rate between the groups (log-rank test, P = .96). The recurrence rates for Group 1 and Group 2 were 8.3% (1/12) and 4.0% (1/25), respectively.Conclusions Compared with aspiration alone, aspiration combined with stent thrombectomy showed a higher complete clearance rate, reduced adjunctive thrombolysis, and a shorter length of hospital stay.
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Combining stent thrombectomy with aspiration versus either technique alone can lead to a higher clearance rate, reduced need for adjunctive thrombolysis, and shorter hospital stays.
“Some studies have indicated that combining stent thrombectomy with aspiration versus either technique alone can lead to a higher clearance rate, reduced need for adjunctive thrombolysis, and shorter hospital stays [59].”
From Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review (2024) · cites this paper as [59]
Cites
Thrombectomy within 8 Hours after Symptom Onset in Ischemic Stroke
Jovin, T. G., Chamorro, Á., Cobo, E., de Miquel, M. Á., Molina, C. A., Rovira, À., Román, L. S., Serena, J. L., Abilleira, S., Ribó, M., et al. (2015) · New England Journal of Medicine · doi:10.1056/nejmoa1503780 · Cited by 4,904 · see citing works
Aboyans, V., Ricco, J.-B., Bartelink, M.-L. E. L., Björck, M., Brodmann, M., Cohnert, T., Collet, J.-P., Czerny, M., De Carlo, M., Debus, S., et al. (2018) · European Heart Journal · doi:10.1093/eurheartj/ehx095 · Cited by 3,293 · see citing works
Editor's Choice – Management of the Diseases of Mesenteric Arteries and Veins
Björck, M., Koelemay, M., Acosta, S., Bastos Goncalves, F., Kölbel, T., Kolkman, J. J., Lees, T., Lefevre, J. H., Menyhei, G., Oderich, G., et al. (2017) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2017.01.010 · Cited by 658 · see citing works
Clair, D. G., & Beach, J. M. (2016) · New England Journal of Medicine · doi:10.1056/nejmra1503884 · Cited by 589 · see citing works
Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery
Bala, M., Kashuk, J., Moore, E. E., Kluger, Y., Biffl, W., Gomes, C. A., Ben-Ishay, O., Rubinstein, C., Balogh, Z. J., Civil, I., et al. (2017) · World Journal of Emergency Surgery · doi:10.1186/s13017-017-0150-5 · Cited by 574 · see citing works
Comparison of open and endovascular treatment of acute mesenteric ischemia
Beaulieu, R. J., Arnaoutakis, K. D., Abularrage, C. J., Efron, D. T., Schneider, E., & Black, J. H. (2014) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2013.06.084 · Cited by 222 · see citing works
Modern treatment of acute mesenteric ischaemia
Acosta, S., & Björck, M. (2013) · British journal of surgery · doi:10.1002/bjs.9330 · Cited by 183 · see citing works
Acute Mesenteric Ischemia: Multidetector CT Findings and Endovascular Management
Kanasaki, S., Furukawa, A., Fumoto, K., Hamanaka, Y., Ota, S., Hirose, T., Inoue, A., Shirakawa, T., Nguyen, L. D. H., & Syerikjan, T. (2018) · Radiographics · doi:10.1148/rg.2018170163 · Cited by 149 · see citing works
The Ongoing Challenge of Acute Mesenteric Ischemia
Luther, B., Mamopoulos, A., Lehmann, C., & Klar, E. (2018) · Visceral Medicine · doi:10.1159/000490318 · Cited by 93 · see citing works
Mokin, M. V., Ionita, C. N., Nagesh, S. V. S., Rudin, S., Levy, E. I., & Siddiqui, A. H. (2014) · Journal of NeuroInterventional Surgery · doi:10.1136/neurintsurg-2014-011148 · Cited by 79 · see citing works
Endovascular Therapy as a Primary Revascularization Modality in Acute Mesenteric Ischemia
Kärkkäinen, J. M., Lehtimäki, T. T., Saari, P., Hartikainen, J., Rantanen, T., Paajanen, H., & Manninen, H. (2015) · CardioVascular and Interventional Radiology · doi:10.1007/s00270-015-1064-9 · Cited by 77 · see citing works
Raupach, J., Lojík, M., Chovanec, V., Renc, O., Strýček, M., Dvorak, P., Hoffmann, P., Guňka, I., Ferko, A., Ryška, P., et al. (2015) · CardioVascular and Interventional Radiology · doi:10.1007/s00270-015-1156-6 · Cited by 71 · see citing works
Thrombolysis for acute occlusion of the superior mesenteric artery
Björnsson, S., Björck, M., Block, T., Resch, T., & Acosta, S. (2011) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2011.07.054 · Cited by 63 · see citing works
Eslami, M. H., Rybin, D. V., Doros, G. D., McPhee, J. T., & Farber, A. M. (2015) · Vascular · doi:10.1177/1708538115577730 · Cited by 54 · see citing works
Salsano, G., Salsano, A., Sportelli, E., Petrocelli, F., Dahmane, M., Spinella, G., Pane, B., Mambrini, S., Palombo, D., & Santini, F. (2018) · CardioVascular and Interventional Radiology · doi:10.1007/s00270-017-1749-3 · Cited by 52 · see citing works
Thrombectomy Devices in the Treatment of Acute Mesenteric Ischemia: Initial Single-Center Experience
Freitas, B., Bausback, Y., Schuster, J., Ülrich, M., Bräunlich, S., Schmidt, A., & Scheinert, D. (2018) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2017.11.041 · Cited by 49 · see citing works
Acute mesenteric ischemia (Part II) – Vascular and endovascular surgical approaches
Kärkkäinen, J. M., & Acosta, S. (2017) · Best Practice & Research Clinical Gastroenterology · doi:10.1016/j.bpg.2016.11.003 · Cited by 48 · see citing works
Systematic review and meta-analysis of endovascular treatment for acute mesenteric ischaemia
El Farargy, M., Abdel Hadi, A., Abou Eisha, M., Bashaeb, K., & Antoniou, G. A. (2017) · Vascular · doi:10.1177/1708538116689353 · Cited by 43 · see citing works
Erben, Y., Protack, C. D., Jean, R. A., Sumpio, B. J., Miller, S. M., Liu, S., Trejo, G., & Sumpio, B. E. (2018) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2017.11.078 · Cited by 40 · see citing works
The role of endovascular therapy in acute mesenteric ischemia
Ierardi, A. M. (2017) · Annals of Gastroenterology · doi:10.20524/aog.2017.0164 · Cited by 37 · see citing works
Björck, M., Orr, N., & Endean, E. D. (2015) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2015.04.431 · Cited by 35 · see citing works
Ballehaninna, U. K., Hingorani, A., Ascher, E., Shiferson, A., Marks, N., Aboian, E., Jimenez, R., Jacob, T., & McIntyre, T. P. (2012) · Vascular · doi:10.1258/vasc.2011.cr0311 · Cited by 35 · see citing works
Hou, L., Wang, T., Wang, J., Zhao, J., & Yuan, D. (2022) · Vascular · doi:10.1177/17085381211024503 · Cited by 32 · see citing works
Zhang, Z., Chen, X., Li, C., Feng, H., Yu, H., & Zhu, R. (2019) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2019.08.096 · Cited by 20 · see citing works
Mechanical Thrombectomy Using the Solitaire AB Device for Acute Embolic Mesenteric Ischemia
Shi, Y., Gu, J., Chen, L., Shi, W., Ahmed, M. J., Huang, H., & Su, H. (2018) · Journal of Vascular and Interventional Radiology · doi:10.1016/j.jvir.2018.08.005 · Cited by 18 · see citing works
Self-citationMiura, Y., Araki, T., Terashima, M., Tsuboi, J., Saito, Y., Kanamaru, K., & Suzuki, H. (2017) · Vascular and Endovascular Surgery · doi:10.1177/1538574416689425 · Cited by 15 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Koelemay, M. J., Geelkerken, R. H., Kärkkäinen, J., Leone, N., Antoniou, G. A., de Bruin, J. L., Gombert, A., Gottsätter, A., Iborra, E., Ronchey, S., et al. (2025) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2025.06.010 · Cited by 123 · see citing works
Garzelli, L., Nuzzo, A., Hamon, A., Abdallah, I. B., Grégory, J., Raynaud, L., Paulatto, L., Burgio, M. D., Castier, Y., Panis, Y. H., et al. (2022) · Insights into Imaging · doi:10.1186/s13244-022-01339-9 · Cited by 22 · see citing works
Pengermä, P., Venesmaa, S., Karjalainen, J., Ukkonen, M., Saari, P., & Kärkkäinen, J. M. (2023) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2023.08.100 · Cited by 19 · see citing works
Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review
Gries, J. J., Sakamoto, T., Chen, B., Virk, H. U. H., Alam, M., & Krittanawong, C. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13051217 · Cited by 19 · see citing works
“Endovascular techniques demonstrated high technical and clinical success rates and patency rates, but restenosis is common.”
BackgroundAdvancements in Revascularization Strategies for Acute Mesenteric Ischemia: A Comprehensive Review
Gries, J. J., Virk, H. U. H., Chen, B., Sakamoto, T., Alam, M., & Krittanawong, C. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13020570 · Cited by 17 · see citing works
Garzelli, L., Abdallah, I. B., Nuzzo, A., Corcos, O., Castier, Y., & Ronot, M. (2022) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2022.05.020 · Cited by 14 · see citing works
Tricky acute mesenteric ischemia: what can we do?
Cui, X.-Y., Chen, Y., Guan, G., Luo, F., & Zhang, Z. (2025) · Gastroenterology Report · doi:10.1093/gastro/goaf067 · Cited by 2 · see citing works
Bakó, E., Palm, E., Pengermä, P., Karjalainen, J., Halonen, J., Manninen, H., Saari, P., & Kärkkäinen, J. M. (2025) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2025.12.039 · Cited by 4 · see citing works
Shi, Y., Zhou, Y., Huang, H., Chen, L., Su, H., & Gu, J. (2025) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2025.1553170 · Cited by 3 · see citing works
Self-citationAMI: bessere Ergebnisse der Transkatheteraspiration bei Kombination mit Stent-Thrombektomie
(2022) · Gefäßmedizin Scan - Zeitschrift für Angiologie Gefäßchirurgie diagnostische und interventionelle Radiologie · doi:10.1055/a-1804-0400
Mahmoud, K., Qiao, Y., Hong, M. J., & Hui, F. K. (2023) · Journal of Vascular and Interventional Radiology · doi:10.1016/j.jvir.2023.11.024
Segmental Mesenteric Thrombosis as the Initial Manifestation of Primary Thrombophilia: Clinical Case
Solís-Reyna, V. H., Álvarez-Flores, L. R., Agustín-Martínez, L. A., Ucán-Gamboa, D. J., Lopez, A. A. F., Ferrera-Salas, R. D. C., & Padrón-Arredondo, G. (2024) · British journal of healthcare and medical research · doi:10.14738/bjhmr.115.17687
Use of endovascular methods in the treatment of acute mesenteric ischemia
Khokhlov, A. V., Stan, M. V., Stan, O. O., Zelenchuk, O. V., & Sudakevych, S. M. (2026) · Cardiac Surgery and Interventional Cardiology · doi:10.31928/3083-7111-2026.1.2939
Aspiration Thrombectomy in Stroke, STEMI, Pulmonary Embolism, and DVT: Scoping Review with ☸SAIMSARA
SAIMSARA (2026) · SAIMSARA Journal · doi:10.62487/saimsara2481f0d4
Zhou, Y., Gan, S., Yuan, Y., Zhao, B., Gong, M., Kong, J., 苏浩波, Gu, J., & Shi, Y. (2026) · Scientific Reports · doi:10.1038/s41598-026-63911-3
Self-citation
- Authors
- Shi, Y., Su, H., Chen, L., Huang, H., Lu, Z., & Gu, J.
- Affiliations
- Nanjing First Hospital (CN)
- Corresponding author
- Gu, Jianping
- Venue
- Journal of Vascular and Interventional Radiology
- Publisher
- Elsevier BV
- Published
- 2022-03
- Volume
- 33
- Issue
- 3
- Pages
- 295-303
- ISSN
- 1051-0443 (ISSN-L)
- OpenAlex
- W4200055176
- Cited by
- 15
- References
- 26
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 3 · 2023: 2 · 2022: 3
- FWCI
- 1.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Vascular and Interventional 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
- acute mesenteric ischemia, endovascular revascularization, mechanical thrombectomy, thrombus aspiration, thrombolysis, length of hospital stay, survival, recurrence
- MeSH terms
- Aged, Humans, Retrospective Studies, Stents, Treatment Outcome, Thrombectomy, Stroke, Endovascular Procedures, Mesenteric Ischemia
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