Inferior mesenteric artery revascularization can supplement salvage of mesenteric ischemia

The inferior mesenteric artery (IMA) has often been overlooked in favor of the celiac or superior mesenteric artery in arterial mesenteric ischemia, owing to the typically robust visceral collateral networks. In the present report, we have described a case series of patients in whom “salvage” revasc...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2023-09, Vol.9 (3), p.101041-101041, Article 101041
Main Authors: Feldman, Zach M., Sumpio, Brandon J., Kim, Young, Kwolek, Christopher J., LaMuraglia, Glenn M., Conrad, Mark F., Srivastava, Sunita D.
Format: Article
Language:English
Subjects:
Inferior
Innovations in clinical care
Mesenteric artery
Mesenteric ischemia
Mesenteric vascular insufficiency
Outcome assessment (health care)
Thrombosis
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Summary:The inferior mesenteric artery (IMA) has often been overlooked in favor of the celiac or superior mesenteric artery in arterial mesenteric ischemia, owing to the typically robust visceral collateral networks. In the present report, we have described a case series of patients in whom “salvage” revascularization of the IMA was performed after attempted celiac or superior mesenteric artery revascularization had been unsuccessful. The restored IMA inflow had resolved the symptoms for three patients. However, sole IMA revascularization was insufficient to reverse the course for two other patients with severe acute-on-chronic mesenteric ischemia. The IMA should be considered for salvage revascularization in the appropriate clinical scenario.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2022.08.031