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

1 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
Externally publishedYes

Keywords

  • Acute mesenteric ischemia
  • Endovascular therapy
  • Stenting

ASJC Scopus subject areas

  • Gastroenterology

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