2022
DOI: 10.1007/s00330-022-08660-3
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Endovascular revascularization of acute arterial mesenteric ischemia: report of a 3-year experience from an intestinal stroke center unit

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Cited by 20 publications
(21 citation statements)
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“…Of course, AAMI is rare compared to ischemia in other organs [ 42 ], but more probably, this can be explained by the focus on bowel resection in historical surgical series [ 43 ]. As a result of improved understanding of the time-dependent pathophysiology of AAMI and identification of early forms of ischemia (i.e., with low probability of necrosis) that can benefit from endovascular revascularization, more recent studies discuss the primary importance of revascularization in clinical practice and research [ 2 , 14 , 44 , 45 ]. This explains why the study population included mostly patients with a low risk of necrosis (i.e., Clichy score 0 or 1) that were referred by the on-call expert group to first-line endovascular revascularization [ 37 ].…”
Section: Discussionmentioning
confidence: 99%
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“…Of course, AAMI is rare compared to ischemia in other organs [ 42 ], but more probably, this can be explained by the focus on bowel resection in historical surgical series [ 43 ]. As a result of improved understanding of the time-dependent pathophysiology of AAMI and identification of early forms of ischemia (i.e., with low probability of necrosis) that can benefit from endovascular revascularization, more recent studies discuss the primary importance of revascularization in clinical practice and research [ 2 , 14 , 44 , 45 ]. This explains why the study population included mostly patients with a low risk of necrosis (i.e., Clichy score 0 or 1) that were referred by the on-call expert group to first-line endovascular revascularization [ 37 ].…”
Section: Discussionmentioning
confidence: 99%
“…Complete occlusion of the SMA, especially of an embolic origin, offers less perspective for the development of collateral anastomosis due to sudden clotting. These patients are usually treated by thrombus-aspiration and intra-arterial thrombolysis techniques rather than stenting [ 12 , 44 ]. A shorter delay between the initial CT and revascularization was found in patients with RI but only in univariate analysis.…”
Section: Discussionmentioning
confidence: 99%
“…Epidemiology and outcome of AMI, based on available evidence [2–5,8,10–19], is presented in Table 1.…”
Section: Epidemiologymentioning
confidence: 99%
“…More awareness, coupled with routine and established pathways for diagnosis and management are likely to be the key issues for successful management, supported by preliminary evidence reporting considerably better survival rates from a specialist centre [13 ▪▪ ,21].…”
Section: Diagnosismentioning
confidence: 99%
“…35 Endovascular revascularization techniques include angioplasty with stenting, aspiration thrombectomy, and/or thrombolysis with reported high technical success rates. 36,37 The choice of endovascular therapy will depend on the etiology of the occlusion, anatomy, and available devices and may be used in conjunction with each other. Thrombolysis alone has become less common as it takes time, on the order of 24 to 48 hours, which often is not possible to maintain viable bowel in patients with AMI.…”
Section: Medicalmentioning
confidence: 99%