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Updated: Jun 16, 2026

Visualization of Neutrophil Extracellular Traps in Mesenteric Venules After Mesenteric Ischemia-Reperfusion Injury via Intravital Microscopy
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Interventions for mesenteric vasculitis.

Yevgeniy Rits1, Gustavo S Oderich, Thomas C Bower

  • 1Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN 55905, USA.

Journal of Vascular Surgery
|February 10, 2010
PubMed
Summary
This summary is machine-generated.

Open revascularization for mesenteric vasculitis (MV) is durable and effective, showing similar long-term outcomes to atherosclerotic disease. This rare condition, often linked to Takayasu arteritis, benefits from surgical intervention for ischemia.

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Area of Science:

  • Vascular Surgery
  • Rheumatology
  • Internal Medicine

Background:

  • Mesenteric vasculitis (MV) is a rare condition affecting arteries supplying the intestines.
  • It can lead to chronic or acute mesenteric ischemia, impacting patient health significantly.
  • Understanding optimal treatment strategies for MV is crucial for improving patient outcomes.

Purpose of the Study:

  • To review and compare the outcomes of open versus endovascular revascularization for mesenteric vasculitis (MV).
  • To assess the long-term efficacy and durability of open surgical reconstructions for MV.
  • To compare outcomes of MV revascularization with those of open reconstructions for atherosclerotic disease.

Main Methods:

  • Retrospective review of clinical data for patients undergoing revascularization for occlusive MV (1984-2008).
  • Exclusion of patients treated for aneurysms or mucosal bleeding without ischemic symptoms.
  • Comparison of open reconstruction outcomes with 163 patients who had open operations for atherosclerotic disease.

Main Results:

  • Fifteen patients (mean age 38) with MV (etiologies: Takayasu's arteritis, polyarteritis nodosa, etc.) underwent revascularization.
  • Nine patients (60%) presented with symptomatic mesenteric ischemia; six had asymptomatic disease.
  • Open revascularization (bypasses, aortoplasties) showed no early deaths, 20% early complications, and 10-year survival similar to the general population, with 83% freedom from symptoms and 83% graft patency.

Conclusions:

  • Mesenteric vasculitis is a rare but significant condition, often associated with specific autoimmune arteritides.
  • Open revascularization demonstrates durable and effective results for managing mesenteric ischemia caused by MV.
  • Outcomes for open MV revascularization are comparable to those for atherosclerotic occlusive disease.