Retrograde open mesenteric stenting for acute mesenteric ischemia is a viable alternative for emergent revascularization.
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.
Stout
Christopher L
CL
Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VA, USA.
Messerschmidt
Cory A
CA
Leake
Andrew E
AE
Veale
William N
WN
Stokes
Gordon K
GK
Panneton
Jean M
JM
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