Effect of timing on endovascular therapy and exploratory laparotomy outcome in acute mesenteric ischemia

Angel Hsu, Kieran Ravi Bhattacharya, Hing Kiu Chan, Timothy C. Huber, Brian Gardner, James R. Stone, John Fritz Angle

    Research output: Contribution to journalArticlepeer-review

    4 Scopus citations

    Abstract

    Background Abdominal exploration followed by vascular bypass has been the standard of care for acute mesenteric ischemia (AMI), but there is increasing use of endovascular treatment with selective exploratory laparotomy. Methods We performed a retrospective review of patients diagnosed with AMI who underwent mesenteric artery angioplasty or stenting at a single institution from 2010-2017. Patients were divided into 3 groups: those who did not undergo exploratory laparotomy; those who received endovascular treatment before laparotomy (post-reperfusion laparotomy group); and those who had endovascular treatment after laparotomy (pre-reperfusion laparotomy group). Results Patients who did not undergo exploratory laparotomy showed 85.7% (12/14) survival, compared with 63.6% (7/11) in the post-reperfusion group and 25.0% (2/8) in the pre-reperfusion group, P=0.077). Time to reperfusion was significant (P=0.009) in predicting survival for patients who underwent exploratory laparotomy. Conclusion Emergent endovascular treatment prior to laparotomy seems to be associated with a higher survival.

    Original languageEnglish (US)
    Pages (from-to)600-604
    Number of pages5
    JournalAnnals of Gastroenterology
    Volume32
    Issue number6
    DOIs
    StatePublished - Nov 15 2019

    Keywords

    • Acute mesenteric ischemia
    • Endovascular therapy
    • Stenting

    ASJC Scopus subject areas

    • Gastroenterology

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