The role of endovascular therapy in acute mesenteric ischemia
Open accessAbstract
BACKGROUND: Endovascular therapy, including aspiration thrombectomy and local thrombolytic therapy, often associated with angioplasty and stent placement, has been described in the literature. The purpose of this study was to review case series of patients with acute mesenteric ischemia treated with endovascular therapy and evaluate their outcomes. METHODS: An online review using PubMed was carried out to identify all English articles about this topic in the time interval from 2005 to 2016. THE FOLLOWING VARIABLES WERE EXTRACTED: number of patients, cause of occlusion, symptoms, arteries involved, number of sessions of treatment, technical success, clinical success, recurrence rate, complications, mortality rate, number of patients who underwent diagnostic laparoscopy or surgical resection of ischemic bowel. RESULTS: Eighteen papers met the inclusion criteria and were included. Among the patients with arterial mesenteric ischemia treated with endovascular approach, the technical success rate was high (up to 100%) and data regarding clinical success are encouraging, even though they are few and heterogeneous. Technical success rate and clinical success of patients with acute venous mesenteric ischemia approached with endovascular treatment was 74-100% and 87.5-100% respectively. CONCLUSIONS: Current advances in endovascular therapies have made these treatments feasible for mesenteric ischemia.
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Intestinal necrosis can occur following endovascular treatment for acute arterial mesenteric ischemia, requiring laparotomy and intestinal resection.
“Although the technical success rate of endovascular treatment in acute arterial mesenteric ischemia can be as high as 100%, intestinal necrosis can occur following the treatment requiring laparotomy and intestinal resection[94].”
From Ischemic bowel disease in 2021. (2021) · cites this paper as [94]
Potential complications of endovascular treatment include vascular access-related bleeding, hematoma or pseudoaneurysm formation, and trauma to the vessels leading to arterial dissection or atheroembolization.
“Other potential complications of endovascular treatment include vascular access-related bleeding, hematoma or pseudoaneurysm formation, and trauma to the vessels leading to arterial dissection or atheroembolization.”
From Ischemic bowel disease in 2021. (2021) · cites this paper as [94]
The technical success rate of endovascular treatment in acute arterial mesenteric ischemia can be as high as 100%.
“Although the technical success rate of endovascular treatment in acute arterial mesenteric ischemia can be as high as 100%, intestinal necrosis can occur following the treatment requiring laparotomy and intestinal resection[94].”
From Ischemic bowel disease in 2021. (2021) · cites this paper as [94]
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- Authors
- Ierardi, A. M.
- Affiliations
- University of Insubria (IT)
- Corresponding author
- Ierardi, Anna Maria
- ORCID
- Ierardi, Anna Maria
- Venue
- Annals of Gastroenterology
- Publisher
- Hellenic Society of Gastroenterology
- Published
- 2017
- Volume
- 30
- Issue
- 5
- Pages
- 526-533
- ISSN
- 1108-7471 (ISSN-L)
- 1792-7463
- PMC
- PMC5566773
- OpenAlex
- W2618372973
- Cited by
- 37
- References
- 44
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 4 · 2019: 8 · 2018: 4
- FWCI
- 4.48
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Annals of Gastroenterology (publishedVersion)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Emergency Medicine › Appendicitis Diagnosis and Management
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Keywords
- acute mesenteric ischemia, endovascular treatment, thrombus aspiration, local thrombolytic therapy, angioplasty, stenting, technical success, clinical success, recurrence, mortality, ischemic bowel
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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