Debate: Whether an endovascular-first strategy is the optimal approach for treating acute mesenteric ischemia
Open accessAbstract
Acute mesenteric ischemia continues to be a life-threatening insult in often-elderly patients with many comorbidities. Recognition and correct diagnosis can be an issue leading to delays in therapy that result in loss of bowel or life, or both. The basic surgical principals in treating acute mesenteric ischemia have long been early recognition, resuscitation, urgent revascularization, resection of necrotic bowel, and reassessment with second-look laparotomies. Endovascular techniques now offer a less invasive alternative, but whether an endovascular-first or open surgery-first approach is preferred in most patients is unclear. Our discussants will attempt to clarify these issues.
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A completion angiogram is necessary following endovascular treatment to assess revascularization.
“A completion angiogram is necessary following endovascular treatment to assess revascularization[96].”
From Ischemic bowel disease in 2021. (2021) · cites this paper as [96]
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- Authors
- Björck, M., Orr, N., & Endean, E. D.
- Affiliations
- Uppsala University (SE)
- University of Kentucky (US)
- Corresponding author
- Björck, Martin
- Endean, Eric D.
- Venue
- Journal of Vascular Surgery
- Publisher
- Elsevier BV
- Published
- 2015-09
- Volume
- 62
- Issue
- 3
- Pages
- 767-772
- ISSN
- 0741-5214 (ISSN-L)
- OpenAlex
- W2148464081
- Cited by
- 35
- References
- 35
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 7 · 2019: 1 · 2018: 4 · 2017: 3 · 2015: 1
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Vascular Surgery (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, open surgery, mesenteric revascularization, second-look laparotomy, elderly patients, comorbidities, delayed diagnosis
- MeSH terms
- Acute Disease, Humans, Risk Factors, Splanchnic Circulation, Vascular Surgical Procedures, Treatment Outcome, Risk Assessment, Patient Selection, Early Diagnosis, Endovascular Procedures, Mesenteric Ischemia
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