Abstract
The current standard care for acute mesenteric ischemia involves urgent revascularization and resection of the necrotic bowel. A dedicated protocol for early treatment and urgent revascularization is pivotal to improving diagnostic rate and patient survival. In this chapter, the critical components of diagnosis and treatment protocol are reviewed. Different treatment choices with endovascular approaches are discussed. After endovascular revascularization, a dedicated team consisting of surgeons and critical care specialists are needed to provide post-intervention care and second-look laparoscopy when necessary. In geographic regions where healthcare resources are lacking, a time-efficient strategy adopted by interventional radiologists or cardiologists should be considered to improve patient survival.