Advancements in Revascularization Strategies for Acute Mesenteric Ischemia: A Comprehensive Review

Author:

Gries Jacob J.1,Virk Hafeez Ul Hassan2,Chen Bing3,Sakamoto Takashi45,Alam Mahboob6,Krittanawong Chayakrit7

Affiliation:

1. Department of Internal Medicine, Geisinger Medical Center, Danville, PA 17822, USA

2. Harrington Heart & Vascular Institute, Case Western Reserve University, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA

3. Department of Gastroenterology and Hepatology, Geisinger Medical Center, Danville, PA 17822, USA

4. Department of Gastroenterological Surgery, Gastroenterological Center, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo 113-0033, Japan

5. Department of Clinical Epidemiology & Health Economics, School of Public Health, The University of Tokyo, Tokyo 113-0033, Japan

6. Section of Cardiology, Baylor College of Medicine, Houston, TX 77030, USA

7. Cardiology Division, NYU Langone Health and NYU School of Medicine, New York, NY 10016, USA

Abstract

Even with modern advancements in the management of acute mesenteric ischemia over the past decade, morbidity and mortality remain high, and the best primary treatment modality is still debated amongst interventionalists. Traditionally, interventionalists have favored an open surgical approach but are now trending for endovascular interventions due to apparent reduced mortality and complications. Newer studies suggest hybrid approaches, and intestinal stroke centers may be superior to either strategy alone. This narrative review will explore the natural history of acute mesenteric ischemia with the aim of increasing interventionalist awareness of modern advancements in revascularization strategies for this devastating disease.

Publisher

MDPI AG

Subject

General Medicine

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