Endovascular Management of Acute Embolic Occlusion of the Superior Mesenteric Artery: A 12-Year Single-Centre Experience
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu časopisecké články, komentáře
PubMed
26202388
DOI
10.1007/s00270-015-1156-6
PII: 10.1007/s00270-015-1156-6
Knihovny.cz E-zdroje
- Klíčová slova
- Acute intestinal ischemia, Aspiration, Endovascular repair, Mesenteric artery stenting, Superior mesenteric artery occlusion,
- MeSH
- akutní nemoc MeSH
- arteria mesenterica superior * MeSH
- endovaskulární výkony metody mortalita MeSH
- lidé MeSH
- mezenteriální cévní okluze mortalita chirurgie MeSH
- mortalita v nemocnicích MeSH
- retrospektivní studie MeSH
- senioři MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- komentáře MeSH
PURPOSE: Retrospective evaluation of 12-year experience with endovascular management of acute mesenteric ischemia (AMI) due to embolic occlusion of the superior mesenteric artery (SMA). MATERIALS AND METHODS: From 2003 to 2014, we analysed the in-hospital mortality of 37 patients with acute mesenteric embolism who underwent primary endovascular therapy with subsequent on-demand laparotomy. Transcatheter embolus aspiration was used in all 37 patients (19 women, 18 men, median age 76 years) with embolic occlusion of the SMA. Adjunctive local thrombolysis (n = 2) and stenting (n = 2) were also utilised. RESULTS: We achieved complete recanalization of the SMA stem in 91.9 %. One patient was successfully treated by surgical embolectomy due to a failed endovascular approach. Subsequent exploratory laparotomy was performed in 73.0 % (n = 27), and necrotic bowel resection in 40.5 %. The total in-hospital mortality was 27.0 %. CONCLUSION: Primary endovascular therapy for acute embolic SMA occlusion with on-demand laparotomy is a recommended algorithm used in our centre to treat SMA occlusion. This combined approach for the treatment of AMI is associated with in-hospital mortality rate of 27.0 %.
Computer Technology Center Faculty of Medicine at Charles University Hradec Kralove Czech Republic
Faculty of Medicine at Charles University Hradec Kralove Czech Republic
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