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Mesenteric Artery Thrombosis and Embolism

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The Mesenteric Organ in Health and Disease

Abstract

Mesenteric artery thrombosis and embolism is an uncommon disease that is associated with high morbidity and mortality. Prompt diagnosis and a high index of suspicion is required. Generally, treatment requires open surgical exploration and revascularization. However, endovascular and hybrid approaches to revascularization may be appropriate for select patients. Postoperative management requires intensive support and treatment of the underlying causes for thrombosis or embolism.

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  1. Acosta S, Björck M. Modern treatment of acute mesenteric ischaemia. Br J Surg. 2014;101(1):e100–8. https://doi.org/10.1002/bjs.9330.

    Article  CAS  PubMed  Google Scholar 

  2. Arthurs ZM, Titus J, Bannazadeh M, et al. A comparison of endovascular revascularization with traditional therapy for the treatment of acute mesenteric ischemia. J Vasc Surg. 2011;201:698–705.

    Article  Google Scholar 

  3. Bala M, Kashuk J, Moore EE, et al. Acute mesenteric ischemia: guidelines of the world society of emergency surgery. World J Emerg Surg. 2017;12:38. Published 2017 Aug 7. https://doi.org/10.1186/s13017-017-0150-5.

  4. Branco BC, Montero-Baker MF, Aziz H, Taylor Z, Mills JL. Endovascular therapy for acute mesenteric ischemia: an NSQIP analysis. Am Surg. 2015;81(11):1170–6.

    Article  Google Scholar 

  5. Beaulieu RJ, Arnaoutakis KD, Abularrage CJ, et al. Comparison of open and endovascular treatment of acute mesenteric ischemia. J Vasc Surg. 2014;59:159–64.

    Article  Google Scholar 

  6. Coleman DM, Rectenwald JE, Upchurch GR. Renal and Splachnic Vascular Disease. Mulholland, MW, Lillemoe, KD, Doherty, GM, Upchurch, GR, Alam, HB, Pawlik, TM. Greenfield's surgery: scientific principles and practice. Philadelphia: Lippincott Williams & Wilkins; 2017:1648–68.

    Google Scholar 

  7. Holscher C, Reifsnyder T. Acute mesenteric ischemia. In: Cameron, J. L., & Cameron, A. M. Current Surgical Therapy. Philadelphia: Elsevier; 2020.pp. 1057–1061.

    Google Scholar 

  8. Leone M, Bechis C, Baumstarck K, et al. Outcome of acute mesenteric ischemia in the intensive care unit: a retrospective, multicenter study of 780 cases [published correction appears in Intensive Care Med. 2015 May;41(5):966–8]. Intensive Care Med. 2015;41(4):667–76. https://doi.org/10.1007/s00134-015-3690-8.

  9. Lin PH, Poi M, Matos J, Kougias P, Bechara C, Chen C. Arterial Disease. In: Brunicardi F, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE. eds. Schwartz's Principles of Surgery, 10e New York, NY: McGraw-Hill; 2015.

    Google Scholar 

  10. Lo R, Schermerhorn M. Mesenteric Arterial Disease: Epidemiology, Pathophysiology, and Clinical Evaluation In: idawy, A, Perler, B. Rutherford's Vascular Surgery and Endovascular Therapy, 8e Philadelphia: Elsevier; 1725–1734.

    Google Scholar 

  11. Myers S. Acute Embolic and Thrombotic Mesenteric Ischemia. In: Cameron, J. L., & Cameron, A. M. Current Surgical Therapy. Philadelphia: Elsevier; 2020. 718–720.

    Google Scholar 

  12. Savlania A, Tripathi RK. Acute mesenteric ischemia: current multidisciplinary approach. J Cardiovasc Surg (Torino). 2017;58(2):339–50. https://doi.org/10.23736/S0021-9509.16.09751-2.

    Article  Google Scholar 

  13. Scali ST, Ayo D, Giles KA, et al. Outcomes of antegrade and retrograde open mesenteric bypass for acute mesenteric ischemia. J Vasc Surg. 2019;69(1):129–40. https://doi.org/10.1016/j.jvs.2018.04.063.

    Article  PubMed  Google Scholar 

  14. Karampinis I, Keese M, Jakob J, et al. Indocyanine Green Tissue Angiography Can Reduce Extended Bowel Resections in Acute Mesenteric Ischemia. J Gastrointest Surg. 2018;22(12):2117–2124. https://doi.org/10.1007/s11605-018-3855-1.

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Correspondence to Salvatore Parascandola .

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Parascandola, S., Obias, V. (2021). Mesenteric Artery Thrombosis and Embolism. In: Ehrenpreis, E.D., Alverdy, J.C., Wexner, S.D. (eds) The Mesenteric Organ in Health and Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-71963-0_49

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  • DOI: https://doi.org/10.1007/978-3-030-71963-0_49

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-71962-3

  • Online ISBN: 978-3-030-71963-0

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