Related Experiment Video
Updated: Aug 13, 2026
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Outcomes after redo procedures for failed mesenteric revascularization
Mary E Giswold1, Gregory J Landry, Lloyd M Taylor
1Division of Vascular Surgery, Oregon Health and Sciences University, Portland, OR 97201, USA.
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.
Insights
Repeat mesenteric revascularization offers effective survival benefits for patients with mesenteric ischemia when initial interventions fail. This study highlights the importance of secondary revascularization procedures in managing complex vascular conditions.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Interventional Cardiology
Background:
- Mesenteric ischemia, a serious condition affecting blood supply to the intestines, can necessitate repeat interventions.
- Splanchnic revascularization procedures aim to restore blood flow but may fail, requiring further treatment.
- Identifying outcomes of repeat mesenteric revascularization is crucial for patient management.
Purpose of the Study:
- To evaluate the outcomes of repeat mesenteric revascularization procedures.
- To assess the efficacy and safety of secondary interventions for failed splanchnic revascularization.
- To analyze patency rates and survival following repeat mesenteric revascularization.
Main Methods:
- Retrospective analysis of a prospectively maintained registry of patients undergoing repeat mesenteric revascularization between January 1985 and July 2002.
- Exclusion of patients with embolic events.
- Data collection on procedures, indications, complications, mortality, patency, and survival.
Main Results:
- 22 patients underwent 33 repeat mesenteric revascularization procedures, including bypasses, angioplasty, and thrombectomies.
- Complication rate was 33.3%, with a 6.1% perioperative mortality, primarily in acute mesenteric ischemia cases.
- One- and 4-year primary patency rates were 73.5% and 62.2%, respectively; survival rates were 85.9% and 75.5%.
Conclusions:
- Repeat mesenteric revascularization is an effective strategy for prolonging survival in patients with previously failed interventions.
- Secondary revascularization procedures demonstrate acceptable patency and survival outcomes.
- Careful consideration of repeat interventions is warranted for patients with mesenteric ischemia requiring further management.
