Acute mesenteric ischemia: current multidisciplinary approach
Abstract
The aim of this review was to describe and discuss the mechanisms of acute mesenteric ischemia (AMI) and the rationale and conduct of currently available endovascular and open surgical techniques in its management. We also propose an algorithm to support the current multidisciplinary approach in decision-making for mesenteric revascularization to manage this high-risk entity.
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Heterogeneous clinical manifestations and pathophysiological mechanisms of different subtypes of AMI usually result in multiple specialties being involved in the primary diagnosis and management of AMI.
“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 [4]
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- Authors
- Savlania, A., & Tripathi, R. K.
- Affiliations
- Post Graduate Institute of Medical Education and Research (IN)
- Narayana Health (IN)
- Venue
- The Journal of Cardiovascular Surgery
- Publisher
- Edizioni Minerva Medica
- Published
- 2017-02
- Volume
- 58
- Issue
- 2
- Pages
- 339-350
- ISSN
- 0021-9509 (ISSN-L)
- 1827-191X
- OpenAlex
- W2592774969
- Cited by
- 33
- References
- 0
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 5 · 2023: 3 · 2022: 2 · 2021: 7 · 2020: 7 · 2019: 2 · 2017: 1
- FWCI
- 2.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Cardiovascular 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, mesenteric revascularization, endovascular intervention, open surgical technique, pathophysiology, multidisciplinary management, clinical decision algorithm, high-risk patients
- MeSH terms
- Computed Tomography Angiography, Acute Disease, Algorithms, Anticoagulants, Combined Modality Therapy, Decision Support Techniques, Humans, Mesenteric Vascular Occlusion, Patient Care Team, Postoperative Complications, Risk Factors, Digestive System Surgical Procedures, Veins, Thrombolytic Therapy, Treatment Outcome, Blood Vessel Prosthesis Implantation, Interdisciplinary Communication, Endovascular Procedures, Mesenteric Ischemia
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