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Endovascular techniques in acute arterial mesenteric ischemia.

Resch, Timothy A; Acosta, Stefan LU and Sonesson, Björn LU (2010) In Seminars in Vascular Surgery 23(1). p.29-35
Abstract
Rapid developments in preoperative noninvasive imaging as well as advanced endovascular techniques have made endovascular treatment of acute arterial mesenteric ischemia a feasible treatment option in many patients. Multidetector computed tomographic angiography will provide the diagnosis and guide treatment in most cases. The use of mechanical and aspiration embolectomy, sometimes in combination with thrombolytic therapy, is often successful in offering these very sick patients a good treatment option to open surgical revascularization. Underlying occlusive lesions can be treated in the same setting. Hybrid techniques using open abdominal exploration in combination with endovascular tools have the possibility of offering minimally... (More)
Rapid developments in preoperative noninvasive imaging as well as advanced endovascular techniques have made endovascular treatment of acute arterial mesenteric ischemia a feasible treatment option in many patients. Multidetector computed tomographic angiography will provide the diagnosis and guide treatment in most cases. The use of mechanical and aspiration embolectomy, sometimes in combination with thrombolytic therapy, is often successful in offering these very sick patients a good treatment option to open surgical revascularization. Underlying occlusive lesions can be treated in the same setting. Hybrid techniques using open abdominal exploration in combination with endovascular tools have the possibility of offering minimally invasive treatment to even more patients. Access to a hybrid operating room is very advantageous when performing these operations because it allows for performing both open and endovascular interventions in the same setting. A fixed angiographic system also minimizes radiation exposure and improves the imaging capabilities compared to a conventional, mobile C-arm. These tools must be used in conjunction with wise, careful clinical evaluation of the patient. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Seminars in Vascular Surgery
volume
23
issue
1
pages
29 - 35
publisher
W B Saunders
external identifiers
  • WOS:000276369500005
  • PMID:20298947
  • Scopus:77950605373
ISSN
0895-7967
DOI
10.1053/j.semvascsurg.2009.12.004
language
English
LU publication?
yes
id
384eccb3-1929-4acf-8b53-c054dbe16677 (old id 1581866)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20298947?dopt=Abstract
date added to LUP
2010-04-07 21:36:41
date last changed
2016-11-22 08:40:22
@misc{384eccb3-1929-4acf-8b53-c054dbe16677,
  abstract     = {Rapid developments in preoperative noninvasive imaging as well as advanced endovascular techniques have made endovascular treatment of acute arterial mesenteric ischemia a feasible treatment option in many patients. Multidetector computed tomographic angiography will provide the diagnosis and guide treatment in most cases. The use of mechanical and aspiration embolectomy, sometimes in combination with thrombolytic therapy, is often successful in offering these very sick patients a good treatment option to open surgical revascularization. Underlying occlusive lesions can be treated in the same setting. Hybrid techniques using open abdominal exploration in combination with endovascular tools have the possibility of offering minimally invasive treatment to even more patients. Access to a hybrid operating room is very advantageous when performing these operations because it allows for performing both open and endovascular interventions in the same setting. A fixed angiographic system also minimizes radiation exposure and improves the imaging capabilities compared to a conventional, mobile C-arm. These tools must be used in conjunction with wise, careful clinical evaluation of the patient.},
  author       = {Resch, Timothy A and Acosta, Stefan and Sonesson, Björn},
  issn         = {0895-7967},
  language     = {eng},
  number       = {1},
  pages        = {29--35},
  publisher    = {ARRAY(0x80d8af8)},
  series       = {Seminars in Vascular Surgery},
  title        = {Endovascular techniques in acute arterial mesenteric ischemia.},
  url          = {http://dx.doi.org/10.1053/j.semvascsurg.2009.12.004},
  volume       = {23},
  year         = {2010},
}