Case report: direct revascularization in acute mesenteric ischemia by an endovascular approach
Abstract Background Acute mesenteric ischemia is a relatively rare but life-threatening clinical condition. Outcome depends on early diagnosis and prompt intervention. Case presentation A 85-year-old man and a 75-year-old woman developed acute mesenteric ischemia due to cardiac embolism. The first p...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2019-09-01
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| Series: | CVIR Endovascular |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s42155-019-0074-0 |
| _version_ | 1818967525217533952 |
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| author | P. Genzel L. C. van Dijk H. T. C. Veger J. J. Wever R. G. S. van Eps R. M. E. Slangen H. van Overhagen |
| author_facet | P. Genzel L. C. van Dijk H. T. C. Veger J. J. Wever R. G. S. van Eps R. M. E. Slangen H. van Overhagen |
| author_sort | P. Genzel |
| collection | DOAJ |
| description | Abstract Background Acute mesenteric ischemia is a relatively rare but life-threatening clinical condition. Outcome depends on early diagnosis and prompt intervention. Case presentation A 85-year-old man and a 75-year-old woman developed acute mesenteric ischemia due to cardiac embolism. The first patient received an insufficient dose of anticoagulants for atrial fibrillation and the second patient dicontinued her anticoagulantia to avoid bleeding during a routine colonoscopy. Both patients presented with severe abdominal pain and computed tomography showed thrombus in de superior mesenteric artery. Successfulrevascularization with good clinical outcome was achieved by means of an endovascular first approach. Conclusion This case report shows that an endovascular approach - in contrast to open surgery - not only enables to revascularize main trunk lesions but can also facilitate revascularization of side branches. Endovascular treatment used to be limited to a selected group of patients without signs of bowel necrosis, but there is a tendency to initiate endovascular revascularization in all patients because it is associated with a reduced mortality, a reduced laparotomy rate and reduction in the resected length of bowel. |
| first_indexed | 2024-12-20T13:50:11Z |
| format | Article |
| id | doaj.art-6222b87c23ee4026bd2cb2e1ad59022c |
| institution | Directory Open Access Journal |
| issn | 2520-8934 |
| language | English |
| last_indexed | 2024-12-20T13:50:11Z |
| publishDate | 2019-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj.art-6222b87c23ee4026bd2cb2e1ad59022c2022-12-21T19:38:33ZengSpringerOpenCVIR Endovascular2520-89342019-09-01211510.1186/s42155-019-0074-0Case report: direct revascularization in acute mesenteric ischemia by an endovascular approachP. Genzel0L. C. van Dijk1H. T. C. Veger2J. J. Wever3R. G. S. van Eps4R. M. E. Slangen5H. van Overhagen6HagaZiekenhuisHagaZiekenhuisHagaZiekenhuisHagaZiekenhuisHagaZiekenhuisHagaZiekenhuisHagaZiekenhuisAbstract Background Acute mesenteric ischemia is a relatively rare but life-threatening clinical condition. Outcome depends on early diagnosis and prompt intervention. Case presentation A 85-year-old man and a 75-year-old woman developed acute mesenteric ischemia due to cardiac embolism. The first patient received an insufficient dose of anticoagulants for atrial fibrillation and the second patient dicontinued her anticoagulantia to avoid bleeding during a routine colonoscopy. Both patients presented with severe abdominal pain and computed tomography showed thrombus in de superior mesenteric artery. Successfulrevascularization with good clinical outcome was achieved by means of an endovascular first approach. Conclusion This case report shows that an endovascular approach - in contrast to open surgery - not only enables to revascularize main trunk lesions but can also facilitate revascularization of side branches. Endovascular treatment used to be limited to a selected group of patients without signs of bowel necrosis, but there is a tendency to initiate endovascular revascularization in all patients because it is associated with a reduced mortality, a reduced laparotomy rate and reduction in the resected length of bowel.http://link.springer.com/article/10.1186/s42155-019-0074-0Acute mesenteric ischemiaRevascularizationThrombosuctionSuperior mesenteric artery |
| spellingShingle | P. Genzel L. C. van Dijk H. T. C. Veger J. J. Wever R. G. S. van Eps R. M. E. Slangen H. van Overhagen Case report: direct revascularization in acute mesenteric ischemia by an endovascular approach CVIR Endovascular Acute mesenteric ischemia Revascularization Thrombosuction Superior mesenteric artery |
| title | Case report: direct revascularization in acute mesenteric ischemia by an endovascular approach |
| title_full | Case report: direct revascularization in acute mesenteric ischemia by an endovascular approach |
| title_fullStr | Case report: direct revascularization in acute mesenteric ischemia by an endovascular approach |
| title_full_unstemmed | Case report: direct revascularization in acute mesenteric ischemia by an endovascular approach |
| title_short | Case report: direct revascularization in acute mesenteric ischemia by an endovascular approach |
| title_sort | case report direct revascularization in acute mesenteric ischemia by an endovascular approach |
| topic | Acute mesenteric ischemia Revascularization Thrombosuction Superior mesenteric artery |
| url | http://link.springer.com/article/10.1186/s42155-019-0074-0 |
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