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Digestive Disease Interventions 2022; 06(04): 317-322
DOI: 10.1055/s-0042-1757764
Review Article

Acute Mesenteric Ischemia: Evaluation, Management, and Interventions

Claire S. Kaufman 
1   Department of Interventional Radiology, Dotter Interventional Institute, Oregon Health Sciences University, Portland, Oregon
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Abstract

Acute mesenteric ischemia (AMI) is a dreaded, highly morbid pathology. Often this is due to acute occlusion of the superior mesenteric artery. This can be from thrombus or embolism; however, AMI can also be the result of mesenteric venous thrombus or nonocclusive mesenteric ischemia. There have been many recent advances in diagnosis and treatment including endovascular therapies. While there is increasing data to support an endovascular first approach, with improved 30-day mortality rates and in-hospital mortality, many patients will still require surgical intervention at some point. This article will review AMI for the interventional radiologist including etiologies, diagnosis, and management.

Keywords

acute mesenteric ischemia - embolism - thrombosis - nonocclusive mesenteric hypoperfusion syndrome - mesenteric venous thrombosis


Publikationsverlauf

Eingereicht: 08. August 2022

Angenommen: 07. September 2022

Artikel online veröffentlicht:
20. Oktober 2022

© 2022. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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