Überblick über Subtypen und Therapien der akuten Mesenterialischämie

Eckhardt, Daniel; Schmid, Axel; Grützmann, Robert

doi:10.1055/a-0758-1795

Zentralbl Chir

2019

DOI: 10.1055/a-0758-1795

|View full text |Cite

Überblick über Subtypen und Therapien der akuten Mesenterialischämie

Daniel Eckhardt¹,

Axel Schmid²,

Robert Grützmann³

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2020

2022

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Based on the etiology, four types of AMI can be distinguished: embolic arterial occlusion (e.g., due to atrial fibrillation), thrombotic arterial occlusion (e.g., due to atherosclerosis), thrombotic venous occlusion (e.g., due to pancreatitis, liver fibrosis, or coagulation disorders), and non-occlusive MI (NOMI, e.g., due to excessive vasopressor requirements in ICU patients) [4]. However, in most cases the specific etiology remains unclear.…”

mentioning

confidence: 99%

Prognostic factors in patients with acute mesenteric ischemia—novel tools for determining patient outcomes

et al. 2022

View full text Add to dashboard Cite

Background Acute mesenteric ischemia (AMI) is a devastating disease with poor prognosis. Due to the multitude of underlying factors, prediction of outcomes remains poor. We aimed to identify factors governing diagnosis and survival in AMI and develop novel prognostic tools. Methods This monocentric retrospective study analyzed patients with suspected AMI undergoing imaging between January 2014 and December 2019. Subgroup analyses were performed for patients with confirmed AMI undergoing surgery. Nomograms were calculated based on multivariable logistic regression models. Results Five hundred and thirty-nine patients underwent imaging for clinically suspected AMI, with 216 examinations showing radiological indication of AMI. Intestinal necrosis (IN) was confirmed in 125 undergoing surgery, 58 of which survived and 67 died (median 9 days after diagnosis, IQR 22). Increasing age, ASA score, pneumatosis intestinalis, and dilated bowel loops were significantly associated with presence of IN upon radiological suspicion. In contrast, decreased pH, elevated creatinine, radiological atherosclerosis, vascular occlusion (versus non-occlusive AMI), and colonic affection (compared to small bowel ischemia only) were associated with impaired survival in patients undergoing surgery. Based on the identified factors, we developed two nomograms to aid in prediction of IN upon radiological suspicion (C-Index = 0.726) and survival in patients undergoing surgery for IN (C-Index = 0.791). Conclusion As AMI remains a condition with high mortality, we identified factors predicting occurrence of IN with suspected AMI and survival when undergoing surgery for IN. We provide two new tools, which combine these parameters and might prove helpful in treatment of patients with AMI.

show abstract

mentioning

confidence: 99%

Prognostic factors in patients with acute mesenteric ischemia—novel tools for determining patient outcomes

et al. 2022

View full text Add to dashboard Cite

show abstract

Akute (arterielle und venöse) Mesenterialischämie

Eckhardt¹,

Schmid²,

Grützmann³

2020

Allgemein- und Viszeralchirurgie up2date

View full text Add to dashboard Cite

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Überblick über Subtypen und Therapien der akuten Mesenterialischämie

Cited by 2 publications

References 8 publications

Prognostic factors in patients with acute mesenteric ischemia—novel tools for determining patient outcomes

Prognostic factors in patients with acute mesenteric ischemia—novel tools for determining patient outcomes

Akute (arterielle und venöse) Mesenterialischämie

Contact Info

Product

Resources

About