A Scoring System for the Assessment of Angiographic Findings in Non-Occlusive Mesenteric Ischemia (NOMI)

Minko, Peter; Groesdonk, Heinrich V.; Stroeder, Jonas; Miodek, J.; Graeber, Stefan; Bücker, Arno; Schäfers, H.-J.; Katoh, Marcus

doi:10.1055/s-0032-1312750

Cited by 23 publications

(29 citation statements)

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“…In addition, we assessed a previously published NOMI score Target ROI PV (green) is placed within the portal vein, proximal to the hepatic bifurcation and target ROI Aorta (blue) within the aorta, close to the origin of the SMA. The time density value is color-coded 1 3 [7,14], that is comprised of three subjectively assessed categories: vessel morphology, aortal contrast reflux, and time to portal vein filling. We calculated the score before and after the intervention and analyzed its potential to monitor treatment response (see Table 2).…”

Section: And Auc Aorta /Aucmentioning

confidence: 99%

“…Monitoring of the vasodilatory effect on the splanchnic circulation, which is of utmost importance in the often critically ill patients, relies on subjective and non-standardized impressions of the interventional radiologist performing the procedure. NOMI scores proposed to predict outcome have not been evaluated for this task so far [7,14]. In order to assess the presence of a therapeutic effect, quantify therapy response, and to avoid overtreatment in often severely hypotensive patients, a therapy response analysis tool would be valuable.…”

Section: Introductionmentioning

confidence: 99%

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Non-occlusive mesenteric ischemia (NOMI): evaluation of 2D-perfusion angiography (2D-PA) for early treatment response assessment

et al. 2020

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Purpose To evaluate the feasibility of 2D-perfusion angiography (2D-PA) for the analysis of intra-procedural treatment response after intra-arterial prostaglandin E1 therapy in patients with non-occlusive mesenteric ischemia (NOMI). Methods Overall, 20 procedures in 18 NOMI patients were included in this retrospective case-control study. To evaluate intra-procedural splanchnic circulation changes, post-processing of digital subtraction angiography (DSA) series was performed. Regions of interest (ROIs) were placed in the superior mesenteric artery (SMA; reference), the portal vein (PV; ROI PV), as well as the aorta next to the origin of the SMA (ROI Aorta). Peak density (PD), time to peak (TTP), and area under the curve (AUC) were assessed, and parametric ratios 'target ROI PD, TTP, AUC /reference ROI' were computed and compared within treatment and control group. Additionally, a NOMI score was assessed pre-and post-treatment compared to 2D-PA. Results Vasodilator therapy leads to a significant decrease of the 2D-PA-derived values PD Aorta (p = 0.04) and AUC Aorta (p = 0.03). These findings correlated with changes of the simplified NOMI score, both for overall (4 to 1, p < 0.0001) and for each category. Prostaglandin application caused a significant increase of the AUC PV (p = 0.04) and TTP PV was accelerated without reaching statistical significance (p = 0.13). When compared to a control group, all 2D-PA values in the NOMI group (pre-and post-intervention) differed significantly (p < 0.05) with longer TTP Aorta/PV and lower AUC Aorta/PV and PD Aorta/PV. Conclusion 2D-PA offers an objective approach to analyze immediate flow and perfusion changes following vasodilatory therapies of NOMI patients and may be a valuable tool for assessing treatment response.

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Section: And Auc Aorta /Aucmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Non-occlusive mesenteric ischemia (NOMI): evaluation of 2D-perfusion angiography (2D-PA) for early treatment response assessment

et al. 2020

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“…Mit der DSA können Gefäßveränderungen der A. mesenterica superior auf dem Niveau von Gefäßarkaden und Segmentarterienästen aufgrund der höheren Auflösung deutlich besser beurteilt werden [7]. Die Kontrastmitteldynamik im Sinne eines erhöhten peripheren mesenterialen Widerstands und die verzögerte Kontrastierung der Pfortader als Zeichen eines verzögerten venösen Abstroms aufgrund von mikrovaskulären Veränderungen können nur mit der DSA beurteilt werden [2,4]. Ein weiterer Vorteil der DSA liegt in der Möglichkeit, unmittelbar nach der Diagnostik sofort und zügig gezielte Therapiemaßnahmen einzuleiten.…”

Section: Digitale Subtraktionsangiografieunclassified

Nicht okklusive mesenteriale Ischämie: Diagnostik und Therapie

Minko¹,

Stroeder²

2020

Gefäßmedizin Scan - Zeitschrift für Angiologie, Gefäßchirurgie,

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“…Стандартное ангиографическое исследование позволяет в ряде наблюдений визуализировать сегментарное сужение верхней брыжеечной артерии (ВБА) и ее ветвей, однако его использование в условиях тяжелого состояния пациента и при нестабильной гемодинамике не считается методом выбора (из-за сложности и инвазивности) при этом заболевании [30,41,43]. Вместе с тем H. Groesdonk и соавт.…”

Section: хирургия 1 2017unclassified

Non-occlusive form of acute mesenteric circulatory disorders: diagnosis and treatment

Хрипун

Alimov

Миронков

et al. 2017

Khir. Z. im. N.I. Pirogova

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Неокклюзионная форма острого нарушения мезентериального кровообращения: диагностика и лечение Д.м.н., проф. а.и. хриПун 1 , д.м.н., проф. а.н. аЛимОв 1 , к.м.н. а.Б. мирОнКОв 1, 2 , а.в. СавеЛьева 2 , д.м.н. а.Д. ПрямиКОв 1, 2 * 1 Кафедра хирургии и эндоскопии (зав.-д.м.н., проф. а.и. хрипун) факультета дополнительного профессионального образования ГБОу вПО «российский национально-исследовательский медицинский университет им. н.и. Пирогова», москва; 2 ГБуЗ «Городская клиническая больница им. в.м. Буянова» Департамента здравоохранения москвы (главный врач-к.м.н., доцент а.в. Саликов), москва, россия Ключевые слова: неокклюзионная форма острого нарушения мезентериального кровообращения, диагностика, лечение. Non-occlusive form of acute mesenteric circulatory disorders: diagnosis and treatment a.i. Khripun, a.n. aLimOv, a.B. mirOnKOv, a.v. SavELiEva, a.D. prYamiKOv Chair of surgery and endoscopy of the Department of advanced medical training of the n.i. pirogov's russian national research medical university, moscow, russian federation; v.m. Buyanov's City Clinical hospital, moscow, russia

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A Scoring System for the Assessment of Angiographic Findings in Non-Occlusive Mesenteric Ischemia (NOMI)

Abstract: In patients with suspected NOMI, using our scoring system yields high intra- and inter-observer correlations, allowing a standardized evaluation of angiographic findings.

Cited by 23 publications

References 0 publications

Non-occlusive mesenteric ischemia (NOMI): evaluation of 2D-perfusion angiography (2D-PA) for early treatment response assessment

Non-occlusive mesenteric ischemia (NOMI): evaluation of 2D-perfusion angiography (2D-PA) for early treatment response assessment

Nicht okklusive mesenteriale Ischämie: Diagnostik und Therapie

Non-occlusive form of acute mesenteric circulatory disorders: diagnosis and treatment

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