title: Acute mesenteric ischemia: endovascular therapy.
abstract: Acute mesenteric ischemia (AMI) is an abdominal emergency with a high mortality. Prompt revascularization can prevent intestinal infarction and reduce mortality. We report three cases of acute occlusive mesenteric ischemia without signs of intestinal necrosis, which were successfully managed with endovascular interventions. Mechanical thrombus fragmentation was performed and underlying chronic stenoses were treated with stent implantation. All the patients had pain relief immediately after the procedure, and none of them required surgery for bowel resection. The patients remained symptom free during a follow-up of 12-16 months. We suggest that endovascular treatment is a feasible option in patients with AMI and can prevent intestinal infarction.
authors.affiliation: Department of Radiology, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey. gulendemirpolat@hotmail.com
authors.forename: Gulen
authors.initials: G
authors.lastname: Demirpolat
authors.forename: Ismail
authors.initials: I
authors.lastname: Oran
authors.forename: Sadik
authors.initials: S
authors.lastname: Tamsel
authors.forename: Mustafa
authors.initials: M
authors.lastname: Parildar
authors.forename: Ahmet
authors.initials: A
authors.lastname: Memis
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000800:Angioplasty, Balloon; D005260:Female; D006801:Humans; D008297:Male; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D015607:Stents; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*