Endovascular Management of Acute Embolic Occlusion of the Superior Mesenteric Artery: A 12-Year Single-Centre Experience

Raupach, Jan; Lojík, Miroslav; Chovanec, Vendelı́n; Renc, Ondřej; Strýček, M.; Dvorák, P; Hoffmann, Petr; Guňka, I; Ferko, Alexander; Ryška, Pavel; Omran, Nedal; Krajina, Antonı́n; Čabelková, P.; Čermáková, Eva; Malý, Radován

doi:10.1007/s00270-015-1156-6

Cited by 50 publications

(36 citation statements)

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“…Eighteen papers met the inclusion criteria and were included in this systematic review. All the data collected by 12 studies focusing on acute arterial mesenteric ischemia are summarized in Table 1 [ 2 - 14 ], and the data obtained from 6 papers focusing on acute venous mesenteric ischemia are presented in Table 2 [ 15 - 20 ]. In Tables we analyzed all studies published during the selected period (2005-2016).…”

Section: Resultsmentioning

confidence: 99%

The role of endovascular therapy in acute mesenteric ischemia

Ierardi¹

2017

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BackgroundEndovascular 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.MethodsAn 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 extractednumber 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.ResultsEighteen 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.ConclusionsCurrent advances in endovascular therapies have made these treatments feasible for mesenteric ischemia.

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Section: Resultsmentioning

confidence: 99%

The role of endovascular therapy in acute mesenteric ischemia

Ierardi¹

2017

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“… 7 , 8 Endovascular treatment has the advantages of minimal invasiveness, fewer post-operative complications, and lower mortality rates than open surgery. 8 , 9 , 10 Arthurs et al. reported that patients with AMI receiving endovascular treatment and undergoing open surgery had mortality rates of 36% and 50%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Mechanical Thrombectomy Treatment of Acute Superior Mesenteric Artery Embolism

Zhang

Chen

Zhu

2017

EJVES Short Reports

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Objective/BackgroundThis report presents a superior mesenteric artery (SMA) embolism managed by percutaneous mechanical thrombectomy (PMT).MethodsA 61 year old woman diagnosed with SMA embolism was admitted. Emboli were found in the middle and distal segments of the SMA on abdominal computed tomography angiography. Under local anaesthesia, a 6 F Rotarex system was used to remove the emboli via left brachial artery access. Emboli were successfully removed and patency was restored to the SMA and its branches.ResultsPost-operatively, the patient's symptoms were significantly relieved. No post-operative complications were observed and no discomfort was documented during follow-up.ConclusionEndovascular treatment of SMA embolism using PMT is a feasible and alternative option.

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“…The anterior approach near the root of the mesentery is most suitable for embolectomy whereas the lateral approach, with mobilization of the fourth part of duodenum and ligament of Treitz, is often preferred for arterial bypass (figures 5,6). Selection between these two approaches depends on the diagnosis (embolus versus thrombosis) and the need for complex arterial reconstruction.…”

Section: Open Surgical Revascularizationmentioning

confidence: 99%