Advancements in Revascularization Strategies for Acute Mesenteric Ischemia: A Comprehensive Review.
Jacob J GriesHafeez Ul Hassan VirkBing ChenTakashi SakamotoMahboob AlamChayakrit KrittanawongPublished in: Journal of clinical medicine (2024)
Even with modern advancements in the management of acute mesenteric ischemia over the past decade, morbidity and mortality remain high, and the best primary treatment modality is still debated amongst interventionalists. Traditionally, interventionalists have favored an open surgical approach but are now trending for endovascular interventions due to apparent reduced mortality and complications. Newer studies suggest hybrid approaches, and intestinal stroke centers may be superior to either strategy alone. This narrative review will explore the natural history of acute mesenteric ischemia with the aim of increasing interventionalist awareness of modern advancements in revascularization strategies for this devastating disease.
Keyphrases
- liver failure
- aortic dissection
- respiratory failure
- drug induced
- percutaneous coronary intervention
- coronary artery bypass grafting
- atrial fibrillation
- risk factors
- physical activity
- hepatitis b virus
- type diabetes
- magnetic resonance imaging
- computed tomography
- acute coronary syndrome
- extracorporeal membrane oxygenation
- cardiovascular events
- intensive care unit
- mechanical ventilation
- combination therapy
- acute respiratory distress syndrome
- diffusion weighted imaging
- contrast enhanced