A single institutional experience with suction thrombectomy in acute mesenteric ischemia
Acute mesenteric ischemia (AMI) is typically treated by open surgery or hybrid techniques. Catheter-based aspiration thrombectomy represents another minimally invasive alternative with a potential additional safety benefit of minimizing the bleeding risk associated with thrombolytics. In this instit...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772687822000332 |
| _version_ | 1797788414511153152 |
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| author | Allison K Mak Elizabeth A Andraska Katherine M Reitz Rabih Chaer Mohammed H Eslami Efthymios Avgerinos |
| author_facet | Allison K Mak Elizabeth A Andraska Katherine M Reitz Rabih Chaer Mohammed H Eslami Efthymios Avgerinos |
| author_sort | Allison K Mak |
| collection | DOAJ |
| description | Acute mesenteric ischemia (AMI) is typically treated by open surgery or hybrid techniques. Catheter-based aspiration thrombectomy represents another minimally invasive alternative with a potential additional safety benefit of minimizing the bleeding risk associated with thrombolytics. In this institutional case series, we present five clinical cases of aspiration thrombectomy for high-risk AMI using the Penumbra aspiration system. All patients underwent technically successful endovascular thrombectomy as demonstrated by intraoperative angiography results. However, bowel necrosis and sepsis adversely affected postoperative outcomes. Lack of intraoperative bowel assessment is a limitation of endovascular methods, highlighting the importance of patient selection. |
| first_indexed | 2024-03-13T01:35:15Z |
| format | Article |
| id | doaj.art-c46eaf9dd11448efb1f839ae8affe6f9 |
| institution | Directory Open Access Journal |
| issn | 2772-6878 |
| language | English |
| last_indexed | 2024-03-13T01:35:15Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Annals of Vascular Surgery - Brief Reports and Innovations |
| spelling | doaj.art-c46eaf9dd11448efb1f839ae8affe6f92023-07-04T05:11:43ZengElsevierAnnals of Vascular Surgery - Brief Reports and Innovations2772-68782022-06-0122100070A single institutional experience with suction thrombectomy in acute mesenteric ischemiaAllison K Mak0Elizabeth A Andraska1Katherine M Reitz2Rabih Chaer3Mohammed H Eslami4Efthymios Avgerinos5University of Pittsburgh School of Medicine, United StatesDepartment of Surgery, Division of Vascular Surgery, UPMC Heart and Vascular Institute, UPMC Presbyterian Hospital, Room E362.4, South Tower, 200 Lothrop Street, Pittsburgh, PA 15213-2582, United States; Corresponding author.Department of Surgery, Division of Vascular Surgery, UPMC Heart and Vascular Institute, UPMC Presbyterian Hospital, Room E362.4, South Tower, 200 Lothrop Street, Pittsburgh, PA 15213-2582, United StatesDepartment of Surgery, Division of Vascular Surgery, UPMC Heart and Vascular Institute, UPMC Presbyterian Hospital, Room E362.4, South Tower, 200 Lothrop Street, Pittsburgh, PA 15213-2582, United StatesDepartment of Surgery, Division of Vascular Surgery, UPMC Heart and Vascular Institute, UPMC Presbyterian Hospital, Room E362.4, South Tower, 200 Lothrop Street, Pittsburgh, PA 15213-2582, United StatesDepartment of Surgery, Division of Vascular Surgery, UPMC Heart and Vascular Institute, UPMC Presbyterian Hospital, Room E362.4, South Tower, 200 Lothrop Street, Pittsburgh, PA 15213-2582, United StatesAcute mesenteric ischemia (AMI) is typically treated by open surgery or hybrid techniques. Catheter-based aspiration thrombectomy represents another minimally invasive alternative with a potential additional safety benefit of minimizing the bleeding risk associated with thrombolytics. In this institutional case series, we present five clinical cases of aspiration thrombectomy for high-risk AMI using the Penumbra aspiration system. All patients underwent technically successful endovascular thrombectomy as demonstrated by intraoperative angiography results. However, bowel necrosis and sepsis adversely affected postoperative outcomes. Lack of intraoperative bowel assessment is a limitation of endovascular methods, highlighting the importance of patient selection.http://www.sciencedirect.com/science/article/pii/S2772687822000332 |
| spellingShingle | Allison K Mak Elizabeth A Andraska Katherine M Reitz Rabih Chaer Mohammed H Eslami Efthymios Avgerinos A single institutional experience with suction thrombectomy in acute mesenteric ischemia Annals of Vascular Surgery - Brief Reports and Innovations |
| title | A single institutional experience with suction thrombectomy in acute mesenteric ischemia |
| title_full | A single institutional experience with suction thrombectomy in acute mesenteric ischemia |
| title_fullStr | A single institutional experience with suction thrombectomy in acute mesenteric ischemia |
| title_full_unstemmed | A single institutional experience with suction thrombectomy in acute mesenteric ischemia |
| title_short | A single institutional experience with suction thrombectomy in acute mesenteric ischemia |
| title_sort | single institutional experience with suction thrombectomy in acute mesenteric ischemia |
| url | http://www.sciencedirect.com/science/article/pii/S2772687822000332 |
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