Journal of CardioVascular Insights
Open Access • Peer Reviewed • Quarterly Publication
Reconstruction of Blood Flow in the Treatment of Acute Mesenteric Ischemia
Abstract
Aim: To evaluate thrombectomy outcomes in acute mesenteric ischemia (AMI) of arterial and venous origin.
Methods: Thirty-nine patients (59–89 years) underwent surgical or endovascular thrombectomy of the superior mesenteric artery (SMA) or vein (SMV), diagnosed by laparotomy or contrast-enhanced CT.
Results: Early SMA revascularization frequently enabled bowel preservation or limited resection with primary anastomosis and favorable recovery. Endovascular therapy was effective in selected cases. However, recurrent ischemia with high mortality occurred in advanced disease. SMV thrombectomy reduced resection length and supported safe anastomosis.
Conclusions: Prompt diagnosis and revascularization are critical for survival and bowel salvage in AMI.
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© 2026 The Author(s). Published by WM Journals.
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