Inferior mesenteric artery revascularization can supplement salvage of mesenteric ischemia

Autor: Zach M. Feldman, MD, MPH, MSc, Brandon J. Sumpio, MD, Young Kim, MD, MS, Christopher J. Kwolek, MD, MBA, Glenn M. LaMuraglia, MD, Mark F. Conrad, MD, MMSc, Sunita D. Srivastava, MD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 9, Iss 3, Pp 101041- (2023)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2022.08.031
Popis: The inferior mesenteric artery (IMA) has often been overlooked in favor of the celiac or superior mesenteric artery in arterial mesenteric ischemia, owing to the typically robust visceral collateral networks. In the present report, we have described a case series of patients in whom “salvage” revascularization of the IMA was performed after attempted celiac or superior mesenteric artery revascularization had been unsuccessful. The restored IMA inflow had resolved the symptoms for three patients. However, sole IMA revascularization was insufficient to reverse the course for two other patients with severe acute-on-chronic mesenteric ischemia. The IMA should be considered for salvage revascularization in the appropriate clinical scenario.
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