|Author||Raupach, J. ♦ Lojik, M. ♦ Chovanec, V. ♦ Renc, O. ♦ Strýček, M. ♦ Dvořák, P. ♦ Hoffmann, P. ♦ Guňka, I. ♦ Ferko, A. ♦ Ryška, P. ♦ Omran, N. ♦ Krajina, A. ♦ Čabelková, P. ♦ Čermáková, E. ♦ Malý, R.|
|Source||United States Department of Energy Office of Scientific and Technical Information|
|Subject Keyword||RADIOLOGY AND NUCLEAR MEDICINE ♦ ALGORITHMS ♦ ARTERIES ♦ HOSPITALS ♦ ISCHEMIA ♦ MANAGEMENT ♦ MEN ♦ MORTALITY ♦ PATIENTS ♦ SURGERY ♦ THERAPY ♦ WOMEN|
|Abstract||PurposeRetrospective evaluation of 12-year experience with endovascular management of acute mesenteric ischemia (AMI) due to embolic occlusion of the superior mesenteric artery (SMA).Materials and methodsFrom 2003 to 2014, we analysed the in-hospital mortality of 37 patients with acute mesenteric embolism who underwent primary endovascular therapy with subsequent on-demand laparotomy. Transcatheter embolus aspiration was used in all 37 patients (19 women, 18 men, median age 76 years) with embolic occlusion of the SMA. Adjunctive local thrombolysis (n = 2) and stenting (n = 2) were also utilised.ResultsWe achieved complete recanalization of the SMA stem in 91.9 %. One patient was successfully treated by surgical embolectomy due to a failed endovascular approach. Subsequent exploratory laparotomy was performed in 73.0 % (n = 27), and necrotic bowel resection in 40.5 %. The total in-hospital mortality was 27.0 %.ConclusionPrimary endovascular therapy for acute embolic SMA occlusion with on-demand laparotomy is a recommended algorithm used in our centre to treat SMA occlusion. This combined approach for the treatment of AMI is associated with in-hospital mortality rate of 27.0 %.|
|Learning Resource Type||Article|
|Publisher Place||United States|
|Journal||Cardiovascular and Interventional Radiology|
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