Acute mesenteric ischemia (Part II) - Vascular and endovascular surgical approaches
Kärkkäinen, Jussi M. and Acosta, Stefan LU
(2017)
In Best Practice and Research in Clinical Gastroenterology
31(1).
p.27-38
- Abstract
The modern treatment of acute mesenteric ischemia (AMI) requires seamless collaboration of gastrointestinal surgeons, vascular surgeons, and interventional radiologists. The treatment strategy is straightforward aiming at rapid restoration of blood flow to the intestine. Bowel resection is performed on demand. The first thing to consider is the patient's clinical condition at presentation, whether there are signs of peritonitis or not, and whether the patient is hemodynamically stable or not. Second, there are four etiologies of AMI that need to be distinguished as they differ in treatment: superior mesenteric artery embolism, mesenteric arterial occlusive disease, mesenteric venous thrombosis, and non-occlusive mesenteric ischemia. In... (More)
The modern treatment of acute mesenteric ischemia (AMI) requires seamless collaboration of gastrointestinal surgeons, vascular surgeons, and interventional radiologists. The treatment strategy is straightforward aiming at rapid restoration of blood flow to the intestine. Bowel resection is performed on demand. The first thing to consider is the patient's clinical condition at presentation, whether there are signs of peritonitis or not, and whether the patient is hemodynamically stable or not. Second, there are four etiologies of AMI that need to be distinguished as they differ in treatment: superior mesenteric artery embolism, mesenteric arterial occlusive disease, mesenteric venous thrombosis, and non-occlusive mesenteric ischemia. In this review, we describe the basic vascular and endovascular treatment modalities accompanied by a simple algorithm for the various situations in AMI. Furthermore, the indications for damage control and primary definitive surgery are discussed.
(Less)
- author
- Kärkkäinen, Jussi M.
and Acosta, Stefan
LU
- organization
- publishing date
- 2017
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Acute mesenteric ischemia, Acute on chronic mesenteric ischemia, Angioplasty, Embolectomy, Endovascular procedures, Endovascular therapy, Mechanical thrombolysis, Mesenteric venous thrombosis, Nonocclusive mesenteric ischemia, Surgical treatment
- in
- Best Practice and Research in Clinical Gastroenterology
- volume
- 31
- issue
- 1
- pages
- 27 - 38
- publisher
- Baillière Tindall
- external identifiers
-
- scopus:85009476077
- pmid:28395785
- wos:000400719800004
- ISSN
- 1521-6918
- DOI
- 10.1016/j.bpg.2016.11.003
- language
- English
- LU publication?
- yes
- id
- a3c235b3-2cec-4090-9f3b-291f225685c2
- date added to LUP
- 2017-02-10 13:30:59
- date last changed
- 2024-03-17 07:14:11
@article{a3c235b3-2cec-4090-9f3b-291f225685c2,
abstract = {{<p>The modern treatment of acute mesenteric ischemia (AMI) requires seamless collaboration of gastrointestinal surgeons, vascular surgeons, and interventional radiologists. The treatment strategy is straightforward aiming at rapid restoration of blood flow to the intestine. Bowel resection is performed on demand. The first thing to consider is the patient's clinical condition at presentation, whether there are signs of peritonitis or not, and whether the patient is hemodynamically stable or not. Second, there are four etiologies of AMI that need to be distinguished as they differ in treatment: superior mesenteric artery embolism, mesenteric arterial occlusive disease, mesenteric venous thrombosis, and non-occlusive mesenteric ischemia. In this review, we describe the basic vascular and endovascular treatment modalities accompanied by a simple algorithm for the various situations in AMI. Furthermore, the indications for damage control and primary definitive surgery are discussed.</p>}},
author = {{Kärkkäinen, Jussi M. and Acosta, Stefan}},
issn = {{1521-6918}},
keywords = {{Acute mesenteric ischemia; Acute on chronic mesenteric ischemia; Angioplasty; Embolectomy; Endovascular procedures; Endovascular therapy; Mechanical thrombolysis; Mesenteric venous thrombosis; Nonocclusive mesenteric ischemia; Surgical treatment}},
language = {{eng}},
number = {{1}},
pages = {{27--38}},
publisher = {{Baillière Tindall}},
series = {{Best Practice and Research in Clinical Gastroenterology}},
title = {{Acute mesenteric ischemia (Part II) - Vascular and endovascular surgical approaches}},
url = {{http://dx.doi.org/10.1016/j.bpg.2016.11.003}},
doi = {{10.1016/j.bpg.2016.11.003}},
volume = {{31}},
year = {{2017}},
}