Inferior mesenteric artery revascularization can supplement salvage of mesenteric ischemia
Open accessAbstract
The inferior mesenteric artery (IMA) has often been overlooked in favor of the celiac or superior mesenteric artery in arterial mesenteric ischemia, owing to the typically robust visceral collateral networks. In the present report, we have described a case series of patients in whom "salvage" revascularization of the IMA was performed after attempted celiac or superior mesenteric artery revascularization had been unsuccessful. The restored IMA inflow had resolved the symptoms for three patients. However, sole IMA revascularization was insufficient to reverse the course for two other patients with severe acute-on-chronic mesenteric ischemia. The IMA should be considered for salvage revascularization in the appropriate clinical scenario.
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Evidence for the effectiveness of angioplasty and stenting of the IMA is limited to three case series comprising 17 patients with successful results.
“Evidence for the effectiveness of angioplasty and stenting of the IMA is limited to three case series comprising 17 patients with successful results.”
From Editor's Choice - European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Diseases of the Mesenteric and Renal Arteries and Veins. (2025) · cites this paper as [65]
The Discussion identifies three earlier case series of IMA revascularization, supporting the claim that the evidence base is limited. It does not give a total of 17 patients for those series. The paper also reports its own five-patient series, in which outcomes were not uniformly successful, so it does not support the unqualified description of successful results. (LLM, conf=0.87)
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Cites
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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
- Authors
- Feldman, Z. M., Sumpio, B. J., Kim, Y., Kwolek, C. J., LaMuraglia, G. M., Conrad, M. F., & Srivastava, S. D.
- Affiliations
- Massachusetts General Hospital (US)
- Newton Wellesley Hospital (US)
- St. Elizabeth's Medical Center (US)
- Corresponding author
- Srivastava, Sunita D.
- ORCID
- Venue
- Journal of Vascular Surgery Cases, Innovations and Techniques
- Publisher
- Elsevier BV
- Published
- 2023-09
- Volume
- 9
- Issue
- 3
- Pages
- 101041
- ISSN
- 2352-667X (ISSN-L)
- 2468-4287
- PMC
- PMC10285280
- OpenAlex
- W4302028685
- Cited by
- 4
- References
- 3
- Citations by year
- 2025: 3 · 2024: 1
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Vascular Surgery Cases and Innovative Techniques (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal and Vascular Pathologies
- Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
- Keywords
- inferior mesenteric artery, mesenteric ischemia
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