Intraoperative Retrograde Mesenteric Angioplasty for Acute Occlusive Mesenteric Ischaemia: A Case Series

Abstract Acute mesenteric ischaemia secondary to atherosclerotic disease of the superior mesenteric artery is a surgical emergency associated with a poor prognosis, and requires prompt diagnosis and early revascularisation in order to improve outcome. The traditional management of surgical resection...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2008-08, Vol.36 (2), p.203-206
Main Authors: Moyes, L.H, McCarter, D.H.A, Vass, D.G, Orr, D.J
Format: Article
Language:English
Subjects:
Adult
Aged
Angioplasty, Balloon - instrumentation
Angioplasty, Balloon - methods
Digestive System Surgical Procedures
Female
Humans
Intestines - blood supply
Ischemia - diagnostic imaging
Ischemia - etiology
Ischemia - mortality
Ischemia - surgery
Ischemia - therapy
Ligation
Male
Mesenteric Artery, Superior - surgery
Mesenteric Vascular Occlusion - complications
Mesenteric Vascular Occlusion - diagnostic imaging
Mesenteric Vascular Occlusion - mortality
Mesenteric Vascular Occlusion - surgery
Mesenteric Vascular Occlusion - therapy
Middle Aged
Radiography
Reoperation
Retrograde mesenteric angioplasty
Stents
Surgery
Time Factors
Treatment Outcome
Vascular Surgical Procedures
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Summary:Abstract Acute mesenteric ischaemia secondary to atherosclerotic disease of the superior mesenteric artery is a surgical emergency associated with a poor prognosis, and requires prompt diagnosis and early revascularisation in order to improve outcome. The traditional management of surgical resection of necrotic bowel plus mesenteric revascularisation by surgical bypass is associated with significant morbidity and mortality. We describe the use of a combined surgical and endovascular approach, using intraoperative retrograde superior mesenteric angioplasty at the time of laparotomy. Four patients have been treated by this combined technique with three surviving, although one subsequently required an open surgical revascularisation procedure.
ISSN:1078-5884
1532-2165
DOI:10.1016/j.ejvs.2008.01.019