title: Bowel necrosis following endovascular revascularization for chronic mesenteric ischemia: a case report and review of the literature.
abstract: BACKGROUND
  Endovascular revascularization has recently been established as a less invasive treatment method for chronic mesenteric ischemia. However, intestinal necrosis caused by distal embolization following this procedure has not been emphasized.
  
  
  METHODS
  The present report describes a 59-year-old man who was treated with endovascular revascularization for chronic mesenteric ischemia. After the procedure, he was diagnosed with intestinal necrosis caused by distal embolization. Despite emergent bowel resection, he died on postoperative day 109.
  
  
  CONCLUSIONS
  Although endovascular revascularization for chronic mesenteric ischemia is less invasive and may be suitable for high-risk patients, attention should be paid to avoid embolic complications that can cause intestinal infarction possibly leading to a fatal condition.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
authors.forename: Takuro
authors.initials: T
authors.lastname: Shirasu
authors.forename: Akihiro
authors.initials: A
authors.lastname: Hosaka
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Okamoto
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Shigematsu
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Takeda
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Miyata
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Watanabe
mesh_terms: D004617:Embolism / Q000209:etiology*; D057510:Endovascular Procedures / Q000009:adverse effects*; D017809:Fatal Outcome; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007511:Ischemia / Q000601:surgery*; D008297:Male; D065666:Mesenteric Ischemia; D008875:Middle Aged; D009336:Necrosis / Q000209:etiology; D014652:Vascular Diseases / Q000601:surgery*