Outcomes after redo procedures for failed mesenteric revascularization

Mary E. Giswold, Gregory J. Landry, Lloyd M. Taylor, Gregory L. Moneta

    Research output: Contribution to journalArticle

    3 Scopus citations

    Abstract

    This report examines results of mesenteric revascularization following a failed splanchnic revascularization. Patients undergoing repeat mesenteric revascularization from January 1985 to July 2002 were identified from a prospectively maintained registry. Data recorded included procedures performed, perioperative mortality, complications, and operative indications. Patients who had embolic events were excluded. Eighty-six patients underwent 105 mesenteric interventions in this time period; 22 patients underwent 33 repeat mesenteric revascularization procedures. There were 25 single-vessel bypasses, 3 multivessel reconstructions, 3 angioplasty procedures (1 open, 2 percutaneous), and 2 graft thrombectomies. Complications occurred in 33.3%. Perioperative mortality was 6.1%, all in patients with acute mesenteric ischemia. One- and 4-year primary patency for repeat mesenteric revascularization was 73.5% and 62.2%, respectively, and survival for repeat mesenteric revascularization was 85.9% and 75.5%, respectively. Patients surgically treated for mesenteric ischemia can require additional interventions. Repeat revascularization effectively prolongs survival when an earlier intervention fails.

    Original languageEnglish (US)
    Pages (from-to)315-319
    Number of pages5
    JournalVascular and Endovascular Surgery
    Volume38
    Issue number4
    DOIs
    StatePublished - Jul 1 2004

    ASJC Scopus subject areas

    • Surgery
    • Cardiology and Cardiovascular Medicine

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