Mortality and Delays of Management of Acute Mesenteric Ischemia: The Need of a Dedicated Program

Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review

“…Early and accurate diagnosis of acute mesenteric ischemia is critical to obtaining optimal outcomes, as delayed diagnosis is a primary factor for the condition’s mortality rate between 30% and 70% [ 12 , 19 ]. Bowel ischemia should be considered for any critically ill patient experiencing unexplained deterioration [ 12 , 19 ]. Figure 2 provides a potential algorithm to assist with early diagnosis and treatment of acute mesenteric ischemia.…”

“…Visceral revascularization procedures, including embolectomy, thrombectomy, endarterectomy, or bypass, are typically performed alongside bowel resection in acute occlusive mesenteric ischemia [ 19 , 32 , 73 ]. For embolic etiologies, a transverse arteriotomy followed by standard embolectomy in the superior mesenteric artery is performed, while a longitudinal arteriotomy can be performed if incomplete reperfusion or thrombus is suspected [ 6 , 32 ].…”

Advancements in Revascularization Strategies for Acute Mesenteric Ischemia: A Comprehensive Review

“…Delayed diagnosis of AMI contributes to its high mortality rate of 30-70% [2]. Bowel ischemia in any critically ill patients should be considered in any unexplained deterioration [10].…”

“…It demands an adept understanding of visceral anatomy, pathophysiology, and contemporary treatment strategies to quickly diagnose, treat, and mitigate its high mortality risk. Despite its relatively low prevalence rate of only 0.09% to 0.2% of all hospitalizations [1], the mortality rate of AMI can exceed 70% if left untreated [2]. Knowledge of the three different etiologies of acute mesenteric ischemia, including arterial thromboembolic, venous thrombosis, or nonocclusive types, can aid in the quick recognition and early initiation of therapy in these patients.…”