title: Retrograde open mesenteric stenting for acute mesenteric ischemia is a viable alternative for emergent revascularization.
abstract: OBJECTIVE
  Significant comorbidities and an exhausted physiologic reserve lead to high mortality rates during operations for acute mesenteric ischemia. We present our experience with retrograde open mesenteric stenting.
  
  
  RESULTS
  A total of 3 female patients (mean age = 74.1 years) with acute mesenteric ischemia underwent exploratory laparotomy. Operative technique included isolating the superior mesenteric artery for cannulation and retrograde endovascular angioplasty and stenting. One required small bowel resection. All 3 patients survived. Mean follow-up was 8.4 months (range: 1.2-16.6). All remain with a 100% primary patency rate.
  
  
  CONCLUSIONS
  Retrograde open mesenteric stenting for acute mesenteric ischemia is a viable alternative to bypass.
authors.affiliation: Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VA, USA.
authors.forename: Christopher L
authors.initials: CL
authors.lastname: Stout
authors.forename: Cory A
authors.initials: CA
authors.lastname: Messerschmidt
authors.forename: Andrew E
authors.initials: AE
authors.lastname: Leake
authors.forename: William N
authors.initials: WN
authors.lastname: Veale
authors.forename: Gordon K
authors.initials: GK
authors.lastname: Stokes
authors.forename: Jean M
authors.initials: JM
authors.lastname: Panneton
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D017130:Angioplasty / Q000295:instrumentation*; D002908:Chronic Disease; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000150:complications / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014654:Vascular Patency