Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review
Mesenteric ischemia is a challenging condition characterized by insufficient blood perfusion to the mesentery and, consequently, intestinal tissues that continues to perplex clinicians. Despite its low prevalence, the condition’s variable clinical presentation and elusive radiographic diagnosis can...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/5/1217 |
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| author | Jacob J. Gries Takashi Sakamoto Bing Chen Hafeez Ul Hassan Virk Mahboob Alam Chayakrit Krittanawong |
| author_facet | Jacob J. Gries Takashi Sakamoto Bing Chen Hafeez Ul Hassan Virk Mahboob Alam Chayakrit Krittanawong |
| author_sort | Jacob J. Gries |
| collection | DOAJ |
| description | Mesenteric ischemia is a challenging condition characterized by insufficient blood perfusion to the mesentery and, consequently, intestinal tissues that continues to perplex clinicians. Despite its low prevalence, the condition’s variable clinical presentation and elusive radiographic diagnosis can delay life-saving interventions in the acute setting and deteriorate the quality of life of patients when left undiagnosed or misdiagnosed. Purpose: Review and summarize recent diagnostic updates and emergent intervention strategies for acute and chronic mesenteric ischemia. Methods: A narrative review of all relevant studies from January 2022 through September 2023. Results: A total of 11 studies from MEDLINE, supplemented with 44 studies from Google Scholar, were included in the review. Conclusions: Both acute and chronic mesenteric ischemia propose diagnostic and therapeutic challenges for interventionalists. Computed tomographic angiography remains the diagnostic modality of choice for both. Open surgical intervention remains the gold standard for acute mesenteric ischemia, while endovascular techniques are preferred for chronic mesenteric ischemia. |
| first_indexed | 2024-04-25T00:26:24Z |
| format | Article |
| id | doaj.art-2cd34003617f4346852e63dcaf00235c |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-04-25T00:26:24Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-2cd34003617f4346852e63dcaf00235c2024-03-12T16:47:36ZengMDPI AGJournal of Clinical Medicine2077-03832024-02-01135121710.3390/jcm13051217Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative ReviewJacob J. Gries0Takashi Sakamoto1Bing Chen2Hafeez Ul Hassan Virk3Mahboob Alam4Chayakrit Krittanawong5Department of Internal Medicine, Geisinger Medical Center, Danville, PA 17822, USADepartment of Gastroenterological Surgery, Gastroenterological Center, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo 1130033, JapanDepartment of Gastroenterology and Hepatology, Geisinger Medical Center, Danville, PA 17822, USAHarrington Heart & Vascular Institute, Case Western Reserve University, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USASection of Cardiology, Baylor College of Medicine, Houston, TX 77030, USACardiology Division, NYU School of Medicine, NYU Langone Health, New York, NY 10016, USAMesenteric ischemia is a challenging condition characterized by insufficient blood perfusion to the mesentery and, consequently, intestinal tissues that continues to perplex clinicians. Despite its low prevalence, the condition’s variable clinical presentation and elusive radiographic diagnosis can delay life-saving interventions in the acute setting and deteriorate the quality of life of patients when left undiagnosed or misdiagnosed. Purpose: Review and summarize recent diagnostic updates and emergent intervention strategies for acute and chronic mesenteric ischemia. Methods: A narrative review of all relevant studies from January 2022 through September 2023. Results: A total of 11 studies from MEDLINE, supplemented with 44 studies from Google Scholar, were included in the review. Conclusions: Both acute and chronic mesenteric ischemia propose diagnostic and therapeutic challenges for interventionalists. Computed tomographic angiography remains the diagnostic modality of choice for both. Open surgical intervention remains the gold standard for acute mesenteric ischemia, while endovascular techniques are preferred for chronic mesenteric ischemia.https://www.mdpi.com/2077-0383/13/5/1217mesenteric ischemiarevascularization |
| spellingShingle | Jacob J. Gries Takashi Sakamoto Bing Chen Hafeez Ul Hassan Virk Mahboob Alam Chayakrit Krittanawong Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review Journal of Clinical Medicine mesenteric ischemia revascularization |
| title | Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review |
| title_full | Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review |
| title_fullStr | Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review |
| title_full_unstemmed | Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review |
| title_short | Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review |
| title_sort | revascularization strategies for acute and chronic mesenteric ischemia a narrative review |
| topic | mesenteric ischemia revascularization |
| url | https://www.mdpi.com/2077-0383/13/5/1217 |
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