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Debate: Whether an endovascular-first strategy is the optimal approach for treating acute mesenteric ischemia
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.ORCID iD: 0000-0001-6561-9734
Univ Kentucky, Dept Surg, Lexington, KY USA..
Univ Kentucky, Dept Surg, Lexington, KY USA..
2015 (English)In: Journal of Vascular Surgery, ISSN 0741-5214, E-ISSN 1097-6809, Vol. 62, no 3, 767-772 p.Article in journal (Refereed) Published
Abstract [en]

Acute mesenteric ischemia continues to be a life-threatening insult in often-elderly patients with many comorbidities. Recognition and correct diagnosis can be an issue leading to delays in therapy that result in loss of bowel or life, or both. The basic surgical principals in treating acute mesenteric ischemia have long been early recognition, resuscitation, urgent revascularization, resection of necrotic bowel, and reassessment with second-look laparotomies. Endovascular techniques now offer a less invasive alternative, but whether an endovascular-first or open surgery-first approach is preferred in most patients is unclear. Our discussants will attempt to clarify these issues.

Place, publisher, year, edition, pages
2015. Vol. 62, no 3, 767-772 p.
National Category
Cardiac and Cardiovascular Systems Surgery
URN: urn:nbn:se:uu:diva-263447DOI: 10.1016/j.jvs.2015.04.431ISI: 000360357500037PubMedID: 26304485OAI: oai:DiVA.org:uu-263447DiVA: diva2:859286
Available from: 2015-10-06 Created: 2015-09-30 Last updated: 2015-11-19Bibliographically approved

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