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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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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.
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container_end_page 101041
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container_start_page 101041
container_title Journal of vascular surgery cases and innovative techniques
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creator Feldman, Zach M.
Sumpio, Brandon J.
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Srivastava, Sunita D.
description 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.
doi_str_mv 10.1016/j.jvscit.2022.08.031
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subjects Inferior
Innovations in clinical care
Mesenteric artery
Mesenteric ischemia
Mesenteric vascular insufficiency
Outcome assessment (health care)
Thrombosis
title Inferior mesenteric artery revascularization can supplement salvage of mesenteric ischemia
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