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Acute mesenteric ischaemia
Abstract
PURPOSE OF REVIEW: To summarize the recent evidence on acute mesenteric ischaemia (AMI). RECENT FINDINGS: The overall incidence of AMI is below 10/100 000 person years but increases exponentially with age. The overall mortality of AMI remains high, exceeding 50%, despite continuing progress and increasing availability of imaging and endovascular interventions. However, patients with (early) revascularization have significantly better outcomes. The majority of patients surviving the acute event are still alive at 1 year, but evidence on quality of life is scarce.Clinical suspicion of AMI is the key to timely diagnosis, with biphasic computed tomography-angiography the diagnostic method of choice. Currently, no biomarker has sufficient specificity to diagnose AMI. SUMMARY: Improved awareness and knowledge of AMI are needed to raise the suspicion of AMI in relevant patients and thereby to achieve better outcomes.
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“Heterogeneous clinical manifestations and pathophysiological mechanisms of different subtypes of AMI (occlusive arterial or venous, non-occlusive) usually result in multiple specialties being involved in the primary diagnosis and management of AMI [3–7], and key similarities and differences between subtypes of AMI are incompletely studied.”
From Incidence, diagnosis, management and outcome of acute mesenteric ischaemia: a prospective, multicentre observational study (AMESI Study) (2024) · cites this paper as [7]
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Cited by
Sorted by citations
Reintam Blaser, A., Mändul, M., Björck, M., Acosta, S., Bala, M., Bodnar, Z., Casian, D., Demetrashvili, Z., D’Oria, M., Durán Muñoz-Cruzado, V., et al. (2024) · Critical Care · doi:10.1186/s13054-024-04807-4 · Cited by 75
Self-citation
Metadata
- Authors
- Reintam Blaser, A., Forbes, A., & Björck, M.
- Affiliations
- Institute of Clinical Medicine, University of Tartu, Tartu, Estonia
- University of Tartu (EE)
- Uppsala University (SE)
- Venue
- Current Opinion in Critical Care
- Published
- 2022-08-10
- Volume
- 28
- Issue
- 6
- Pages
- 702-708
- ISSN
- 1070-5295 (ISSN-L)
- 1531-7072
- OpenAlex
- W4291001772
- Cited by
- 9
- References
- 53
- Citations by year
- 2024: 5 · 2023: 4
- FWCI
- 0.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Critical Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Surgery › Omental and Epiploic Conditions
- Health Sciences › Medicine › Emergency Medicine › Appendicitis Diagnosis and Management
- Keywords
- acute mesenteric ischemia, incidence, mortality, revascularization, endovascular intervention, CT angiography, diagnostic biomarkers, quality of life, clinical suspicion
- MeSH terms
- Acute Disease, Angiography, Humans, Quality of Life, Retrospective Studies, Tomography, X-Ray Computed, Mesenteric Ischemia
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