Acute Gut Ischemia

被引:7
作者
Ehlert, Bryan A. [1 ]
机构
[1] East Carolina Univ, Brody Sch Med, Dept Cardiovasc Sci, 115 Heart Dr,Mail Stop 651, Greenville, NC 27834 USA
关键词
Acute mesenteric ischemia; Mesenteric arterial occlusion; Mesenteric thrombosis; Mesenteric embolectomy; Mesenteric bypass; Catheter-directed thrombolysis; Retrograde open mesenteric stenting; ACUTE MESENTERIC ISCHEMIA; ENDOVASCULAR TREATMENT; SURGICAL-MANAGEMENT; INTESTINAL ISCHEMIA; CT ANGIOGRAPHY; ARTERY; REVASCULARIZATION; ANGIOPLASTY; OCCLUSION; MORTALITY;
D O I
10.1016/j.suc.2018.06.002
中图分类号
R61 [外科手术学];
学科分类号
摘要
Acute mesenteric ischemia is a surgical emergency commonly caused by embolic or thrombotic occlusion of the superior mesenteric artery. Prompt diagnosis, fluid resuscitation, systemic anticoagulation, and mesenteric revascularization are key tenets to the treatment of this lethal condition. Revascularization can be performed via open thromboembolectomy or surgical bypass, endovascular techniques, or a hybrid approach of the two. Despite technologic advancements, mortalities remain high, and the plan of care and revascularization should be based on the patient's clinical status and available medical center resources.
引用
收藏
页码:995 / 1004
页数:10
相关论文
共 41 条
[1]   Identification of risk factors for perioperative mortality in acute mesenteric ischemia [J].
Acosta-Merida, Maria Asuncion ;
Marchena-Gomez, Joaquin ;
Hemmersbach-Miller, Marion ;
Roque-Castellano, Cristina ;
Hernandez-Romero, Juan Maria .
WORLD JOURNAL OF SURGERY, 2006, 30 (08) :1579-1585
[2]   A comparison of endovascular revascularization with traditional therapy for the treatment of acute mesenteric ischemia DISCUSSION [J].
Roddy, Sean P. ;
Arthurs, Zachary M. ;
Freischlag, Julie Ann .
JOURNAL OF VASCULAR SURGERY, 2011, 53 (03) :704-705
[3]   Evaluation of acute mesenteric ischemia: accuracy of biphasic mesenteric multi-detector CT angiography [J].
Aschoff, A. J. ;
Stuber, G. ;
Becker, B. W. ;
Hoffmann, M. H. K. ;
Schmitz, B. L. ;
Schelzig, H. ;
Jaeckle, T. .
ABDOMINAL IMAGING, 2009, 34 (03) :345-357
[4]  
BALLARD JL, 1993, AM SURGEON, V59, P309
[5]  
Batellier J, 1990, Ann Vasc Surg, V4, P112, DOI 10.1007/BF02001363
[6]   Comparison of open and endovascular treatment of acute mesenteric ischemia [J].
Beaulieu, Robert J. ;
Arnaoutakis, K. Dean ;
Abularrage, Christopher J. ;
Efron, David T. ;
Schneider, Eric ;
Black, James H., III .
JOURNAL OF VASCULAR SURGERY, 2014, 59 (01) :159-164
[7]  
Bergman R T, 1992, Ann Vasc Surg, V6, P74, DOI 10.1007/BF02000672
[8]  
Biebl M, 2004, AM SURGEON, V70, P994
[9]   Retrograde open mesenteric stenting for acute mesenteric ischemia [J].
Blauw, Juliette T. M. ;
Meerwaldt, Robert ;
Brusse-Keizer, Marjolein ;
Kolkman, Jeroen J. ;
Gerrits, Dick ;
Geelkerken, Robert H. .
JOURNAL OF VASCULAR SURGERY, 2014, 60 (03) :726-734
[10]   Endovascular and open surgery for acute occlusion of the superior mesenteric artery [J].
Block, Tomas A. ;
Acosta, Stefan ;
Bjorck, Martin .
JOURNAL OF VASCULAR SURGERY, 2010, 52 (04) :959-966