[Perioperative intra-arterial irrigation perfusion for adjuvant therapy of acute intestinal circulatory disorders].
The extent of mesenteric infarctions caused by intestinal circulation disorders essentially depends on reactive vasoconstriction and oxygen radical induced lesions of enteric mucosa. Animal experiments indicated protective effects of an intraarterial flushing perfusion of mesenteric arteries with vasodilators and anti-oxidants. We carried out a transaortic perfusion of the superior mesenteric artery with lactated Ringer's-solution and vasodilators (papaverin, tolazolin, PGE1) in acute occlusion of mesenteric arteries in 12 patients (case reports). Three patients were treated successfully without reconstruction by conservative method alone. Only one patient (8.33%) died because of uncontrolled enteric ischemia. Angiological therapy is necessary in modern treatment of acute mesenteric ischemia. Surgical goals are elimination of central vascular occlusions and resection of necrobiotic areas of intestinal organs.
Luther
B
B
Klinik für Gefässchirurgie, Städtischen Krankenhauses Esslingen.
Lehmann
C
C
Schwilden
E D
ED
Holzäpfel
A
A
D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D000975:Antioxidants / Q000008:administration & dosage; D004617:Embolism / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D007238:Infarction / Q000601:surgery*; D007422:Intestines / Q000098:blood supply*; D007511:Ischemia / Q000000981:diagnostic imaging / Q000601:surgery*; D007552:Isotonic Solutions / Q000008:administration & dosage; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D010477:Perfusion; D000077325:Ringer's Lactate; D007507:Therapeutic Irrigation / Q000379:methods*; D016896:Treatment Outcome; D014665:Vasodilator Agents / Q000008:administration & dosage
D000975:Antioxidants; D007552:Isotonic Solutions; D000077325:Ringer's Lactate; D014665:Vasodilator Agents