Endovascular Treatment of Inferior Mesenteric Artery Avulsion Caused by Blunt Abdominal Trauma

Uotani, Kensuke; Hamanaka, Akihiro; Arase, Maki; Tomoya, Kadoba; Yamasaki, Yoshihiro; Kushima, Takeyuki; Sugimoto, Takeshi; Sugimoto, Koji

doi:10.1016/j.jvir.2015.07.006

Cited by 6 publications

(4 citation statements)

References 2 publications

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“…In one study of SMA injuries, eight patients (23%) required re‐exploration and only two survived [10, 15]. If bowel resection is performed at the same time as SMA repair, the patient should also have a second‐look laparotomy 24–48 h after the initial procedure [21].…”

Section: Discussionmentioning

confidence: 99%

“…In primary repair studies by Lucas [3], two of the three SMA injuries treated with re‐anastomosis developed subsequent thrombosis, raising the concern that primary re‐anastomosis could be associated with a high failure rate [3, 21]. Autogenous grafts using the saphenous vein, femoral vein, or synthetic (PTFE) grafts are options for definitive repair [20, 30].…”

Section: Discussionmentioning

confidence: 99%

“…The first proposes that shearing forces cause avulsion of the artery at the junction between the unfixed bowel portion and the fixed retroperitoneal portion [1]. The second theory suggests that the artery is crushed between the object producing the abdominal trauma and the lumbar spine [21].…”

Section: Mechanism Of Injurymentioning

confidence: 99%

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Trauma to the Superior Mesenteric Artery and Superior Mesenteric Vein: A Narrative Review of Rare but Lethal Injuries

et al. 2017

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Mesenteric vessels, including the superior mesenteric artery (SMA) and vein (SMV), provide and drain the rich blood supply of the midgut and hindgut. SMA and SMV injuries are rare and often lethal. Clinical management of these injuries is not well established, but treatment options include operative, non-operative, and endovascular strategies. A narrative review of the literature was conducted using MEDLINE Complete-EBSCO. Relevant studies, specifically those focusing on diagnosis and management of SMA and SMV injuries, were selected. Only original reports and collected series were selected to prevent duplication of cases. A search of the literature for mesenteric arterial injuries yielded 87 studies. Vessel-specific breakdown of the studies yielded 40 with SMA injuries and 41 with SMV injuries. These searches were winnowed to 26 individual studies, which were included in this collective review. Limitations of this study are similar to all narrative literature reviews: the dependence on previously published research and availability of references as outlined in our methodology. Although historically rare, mesenteric vessel injuries are seen with increasing incidence and continue to present a challenge to trauma surgeons due to their daunting mortality rates. Currently, universal treatment guidelines do not exist, but the various options for their management have been extensively reviewed in the literature.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Trauma to the Superior Mesenteric Artery and Superior Mesenteric Vein: A Narrative Review of Rare but Lethal Injuries

et al. 2017

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“…These patients will receive further resuscitation prior to definitive laparotomy and repair. 31,32 Temporary shunting of the SMA was first described by Reilly in 1995 and can be lifesaving in these situations. 31 Continued bowel perfusion is gained and allows time for resuscitation, treatment of other life-threatening injuries, or even transfer to a more suitable facility.…”

Section: Superior Mesenteric Artery Injurymentioning

confidence: 99%

Superior Mesenteric Artery and Vein Injuries: Operative Strategies and Outcomes

Melmer

Clatterbuck

Parker

et al. 2021

Vasc Endovascular Surg

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Traumatic injuries to the mesenteric vessels are rare and often lethal. Visceral vessels, such as the superior mesenteric artery (SMA) and vein (SMV), supply blood to the small and large bowel by a rich system of collaterals. Because fewer than 100 such injuries have been described in the literature, they pose challenges in both diagnosis and management and can unfortunately result in high mortality rates. Prompt diagnosis, surgical intervention, and resuscitation can lead to improved outcomes. Here, we review the literature surrounding traumatic injuries of the SMA/SMV and discuss management strategies.

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Transcatheter arterial embolization in abdominal blunt trauma with active mesenteric bleeding: case series and review of literature

et al. 2020

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Endovascular Treatment of Inferior Mesenteric Artery Avulsion Caused by Blunt Abdominal Trauma

Cited by 6 publications

References 2 publications

Trauma to the Superior Mesenteric Artery and Superior Mesenteric Vein: A Narrative Review of Rare but Lethal Injuries

Trauma to the Superior Mesenteric Artery and Superior Mesenteric Vein: A Narrative Review of Rare but Lethal Injuries

Superior Mesenteric Artery and Vein Injuries: Operative Strategies and Outcomes

Transcatheter arterial embolization in abdominal blunt trauma with active mesenteric bleeding: case series and review of literature

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