Technique profile: mesenteric reconstructions for occlusive disease.
Visceral ischemic syndromes are rare but catastrophic disorders. In acute presentations, treatment modalities include thrombolytic therapy, open surgical revascularization and percutaneous endovascular therapy. Endovascular therapy has become the most commonly utilized treatment option for chronic mesenteric ischemia and should be considered the first line of therapy for patients with anatomically suitable lesions or excessive open surgical risk. Open surgical revascularization has been associated with outstanding long-term outcomes. The various surgical and endovascular techniques and their associated outcomes for the treatment of mesenteric ischemic syndromes are reviewed in detail.
Aamir S
AS
Shah
a Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Lewis B
LB
Schwartz
a Cedars-Sinai Medical Center, Los Angeles, CA, USA.
John
J
Moawad
a Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Bruce L
BL
Gewertz
D057510:Endovascular Procedures / Q000009:adverse effects / Q000379:methods; D006801:Humans; D007813:Laparotomy / Q000009:adverse effects / Q000379:methods; D065666:Mesenteric Ischemia / Q000175:diagnosis / Q000601:surgery; D018579:Patient Selection; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D015424:Reperfusion / Q000009:adverse effects / Q000379:methods; D016896:Treatment Outcome
acute mesenteric ischemia; chronic mesenteric ischemia; endovascular therapy; operative techniques; surgical revascularization