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Techniques of Endovascular Revascularization for Acute Mesenteric Ischemia

  • Timur P. SaracEmail author
Chapter

Abstract

Acute mesenteric ischemia (AMI) remains a lethal disease. The most common etiology is in situ thrombosis from progressive arterial occlusive disease, followed by embolism, nonocclusive mesenteric ischemia, mesenteric venous thrombosis, and thoracoabdominal aortic dissection. Over the past decade, similar to percutaneous angioplasty and stenting for chronic mesenteric ischemia, endovascular therapies have been used more frequently, with improved mortality and morbidity rates.

Keywords

Acute mesenteric ischemia Endovascular revascularization for acute mesenteric ischemia Mesenteric vascular disease Thrombolysis for acute embolic superior mesenteric artery occlusion Stents for thoracic aortic disease 

References

  1. 1.
    Litten M. Uber die Folgen des Verschlusses der Arteria Mesaraica Superior. Arch Pathol Anat. 1875;63:289.CrossRefGoogle Scholar
  2. 2.
    Stoney RJ, Cunningham CG. Acute mesenteric ischemia. Surgery. 1993;114:489–90.PubMedGoogle Scholar
  3. 3.
    Acosta S. Epidemiology of mesenteric vascular disease: clinical implications. Semin Vasc Surg. 2010;23:4–8.PubMedCrossRefGoogle Scholar
  4. 4.
    Park WM, Gloviczki P, Cherry KJ, Hallett JW, Bower TC, Panneton JM, Schleck C, Ilstrup D, Harmsen WS, Noel AA. Contemporary management of acute mesenteric ischemia: factors associated with survival. J Vasc Surg. 2002;35:445–52.PubMedCrossRefGoogle Scholar
  5. 5.
    Stoney RJ, Ehrenfeld WK, Wiley EJ. Revascularization methods in chronic visceral ischemia caused by atherosclerosis. Ann Surg. 1977;186:468–76.PubMedCentralPubMedCrossRefGoogle Scholar
  6. 6.
    Stoney RJ, Wylie EJ. Recognition and surgical management of visceral ischemic syndrome. Ann Surg. 1966;164:714.PubMedCentralPubMedCrossRefGoogle Scholar
  7. 7.
    Shaw RS, Maynard III EP. Acute and chronic thrombosis of mesenteric arteries associated with malabsorption. A report of two cases successfully treated by thromboendarterectomy. N Engl J Med. 1958;258:874.PubMedCrossRefGoogle Scholar
  8. 8.
    Furrer J, Gruntzig A, Kugelmeier J, et al. Treatment of abdominal angina with percutaneous dilatation of an arteria mesenterica superior stenosis: preliminary communication. Cardiovasc Intervent Radiol. 1980;3:43–4.PubMedCrossRefGoogle Scholar
  9. 9.
    Schermerhorn ML, Giles KA, Hamdan AD, Wyers MC, Pomposelli FB. Mesenteric revascularization: management and outcomes in the United States, 1988–2006. J Vasc Surg. 2009;50:341–8.PubMedCentralPubMedCrossRefGoogle Scholar
  10. 10.
    Björnsson S, Björck M, Block T, Resch T, Acosta S. Thrombolysis for acute occlusion of the superior mesenteric artery. J Vasc Surg. 2011;54:1734–42.PubMedCrossRefGoogle Scholar
  11. 11.
    Heiss P, Loewenhardt B, Manke C, Hellinger A, Dietl KH, Schlitt HJ, et al. Primary percutaneous aspiration and thrombolysis for the treatment of acute embolic superior mesenteric artery occlusion. Eur Radiol. 2010;20:2948–58.PubMedCrossRefGoogle Scholar
  12. 12.
    Kasirajan K, Gray B, Beavers FP, et al. Rheolytic thrombectomy in the management of acute and subacute limb-threatening ischemia. J Vasc Interv Radiol. 2001;12:413–21.PubMedCrossRefGoogle Scholar
  13. 13.
    Oderich GS, Erdoes LS, LeSar C, Mendes BC, Gloviczki P, Cha S, Duncan AA, Bower TC. Comparison of covered stents versus bare metal stents for treatment of chronic atherosclerotic mesenteric arterial disease. J Vasc Surg. 2013;58:1316–24.PubMedCrossRefGoogle Scholar
  14. 14.
    Milner R, Woo EY, Carpenter JP. Superior mesenteric artery angioplasty and stenting via a retrograde approach in a patient with bowel ischemia – a case report. Vasc Endovascular Surg. 2004;38:89–91.PubMedCrossRefGoogle Scholar
  15. 15.
    Wyers MC, Powell RJ, Nolan BW, Cronenwett JL. Retrograde mesenteric stenting during laparotomy for acute occlusive mesenteric ischemia. J Vasc Surg. 2011;53:698–705.CrossRefGoogle Scholar
  16. 16.
    Svensson LG, Kouchoukos NT, Miller DC, Bavaria JE, Coselli JS, Curi MA, et al. Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts. Ann Thorac Surg. 2008;85(1 Suppl):S1–41.PubMedCrossRefGoogle Scholar
  17. 17.
    Dake MD, Kato N, Mitchell RS, et al. Endovascular stent-graft placement for the treatment of acute aortic dissection. N Engl J Med. 1999;340(20):1546–52.PubMedCrossRefGoogle Scholar
  18. 18.
    Verhoye JP, Miller DC, Sze D, Dake MD, Mitchell RS. Complicated acute type B aortic dissection: midterm results of emergency endovascular stent-grafting. J Thorac Cardiovasc Surg. 2008;136(2):424–30.PubMedCrossRefGoogle Scholar
  19. 19.
    White RA, Miller DC, Criado FJ, Dake MD, Diethrich EB, Greenberg RK, et al. Report on the results of thoracic endovascular aortic repair for acute, complicated, type B aortic dissection at 30 days and 1 year from a multidisciplinary subcommittee of the Society for Vascular Surgery Outcomes Committee. J Vasc Surg. 2011;53(4):1082–90.PubMedCrossRefGoogle Scholar
  20. 20.
    Ryan C, Vargas L, Mastracci T, Srivastava S, Eagleton M, Kelso R, Lyden S, Clair D, Sarac TP. Progress in the management of visceral ischemia from type B aortic dissection. J Vasc Surg. 2013;57(5):1283–90. discussion 1290.PubMedCrossRefGoogle Scholar
  21. 21.
    Acosta S, Alhadad A, Svensson P, Ekberg O. Epidemiology, risk and prognostic factors in mesenteric venous thrombosis. Br J Surg. 2008;95:1245–51.PubMedCrossRefGoogle Scholar
  22. 22.
    Di Minno MN, Milone F, Milone M, Iaccarino V, Venetucci P, Lupoli R, et al. Endovascular thrombolysis in acute mesenteric vein thrombosis: a 3-year follow-up with the rate of short and long-term sequaelae in 32 patients. Thromb Res. 2010;126:295–8.PubMedCrossRefGoogle Scholar
  23. 23.
    Kougias P, Lau D, El Sayed HF, Zhou W, Huynh TT, Lin PH. Determinants of mortality and treatment outcome following surgical interventions for acute mesenteric ischemia. J Vasc Surg. 2007;46:467–74.PubMedCrossRefGoogle Scholar
  24. 24.
    Arthurs ZM, Titus J, Bannazadeh M, Eagleton MJ, Srivastava S, Sarac TP, Daniel G, Clair DG. A comparison of endovascular revascularization with traditional therapy for the treatment of acute mesenteric ischemia. J Vasc Surg. 2011;53:698–705.PubMedCrossRefGoogle Scholar
  25. 25.
    Ryer EJ, Kalra M, Oderich GS, Duncan AA, Gloviczki P, Cha S, Bower TC. Revascularization for acute mesenteric ischemia. J Vasc Surg. 2012;55:1682–9.PubMedCrossRefGoogle Scholar
  26. 26.
    Beaulieu RJ, Arnaoutakisn KD, Abularrage CJ, Efro DT, Schneider E, Black JH. Comparison of open and endovascular treatment of acute mesenteric ischemia. J Vasc Surg. 2014;59:159–64.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Section of Vascular SurgeryHeart and Vascular Institute, Yale University School of MedicineNew HavenUSA

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