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Proper Treatment of Acute Mesenteric Ischemia  

Kim, Sung-Kwan (Department of Radiology, Chonbuk National University Hospital and Medical School)
Han, Young-Min (Department of Radiology, Chonbuk National University Hospital and Medical School)
Kwak, Hyo-Sung (Department of Radiology, Chonbuk National University Hospital and Medical School)
Yu, Hee-Chul (Department of Surgery, Chonbuk National University Hospital and Medical School)
Publication Information
Journal of the Korean Society of Radiology / v.65, no.4, 2011 , pp. 345-356 More about this Journal
Abstract
Purpose: To evaluate the effectiveness of treatment options for Acute Mesenteric Ischemia and establish proper treatment guidelines. Materials and Methods: From January 2007 to May 2010, 14 patients (13 men and 1 woman, mean age: 52.1 years) with acute mesenteric ischemia were enrolled in this study. All of the lesions were detected by CT scan and angiography. Initially, 4 patients underwent conservative treatment. Eleven patients were managed by endovascular treatment. We evaluated the therapeutic success and survival rate of each patient. Results: The causes of ischemia included thromboembolism in 6 patients and dissection in 8 patients. Nine patients showed bowel ischemia on CT scans, 4 dissection patients underwent conservative treatment, 3 patients had recurring symptoms, and 5 dissection patients underwent endovascular treatment. Overall success and survival rate was 100%. However, overall success was 83% and survival rate was 40% in the 6 thromboembolism patients. The choice of 20 hours as the critical time in which the procedure is ideally performed was statistically significant (p = 0.0476). Conclusion: A percutaneous endovascular procedure is an effective treatment for acute mesenteric ischemia, especially in patients who underwent treatment within 20 hours. However, further study and a long term follow-up are needed.
Keywords
Percutaneous Endovascular Treatment; Superior Mesenteric Artery; Acute Mesenteric Ischemia;
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