[Endovascular treatment of mesenterial ischaemia]

Mesenteric ischaemia is an uncommon but an important diagnosis because of its high mortality rate. The outcome is dependent upon high index of clinical suspicion and rapid management. Modern computed tomography plays a major role in the diagnosis of this disease. Open surgical revascularization is associated with high mortality and morbidity but high rate of symptom relief in chronic ischaemia. Endovascular revascularization is increasingly used in the treatment of the disease and is an acceptable alternative to open surgery in selected patients, due to lower in-hospital complications and mortality. Restenosis after endovascular therapy of chronic ischemia is an issue of concern with more frequent reinterventions needed to maintain patency.