[Is acute mesenteric ischemia incurable situation? The current state of the problem]

Area of Science:

• Vascular Surgery
• Diagnostic Imaging
• Gastroenterology

Background:

• Acute mesenteric ischemia (AMI) has persistently high mortality rates.
• Timely diagnosis and appropriate revascularization are key to improving patient outcomes.
• Current management strategies for AMI require optimization.

Purpose of the Study:

• To review the indications for CT angiography in diagnosing AMI.
• To present arguments for open versus endovascular revascularization in AMI.
• To discuss unresolved tactical issues in AMI management.

Main Methods:

• Review of current literature on acute mesenteric ischemia.
• Analysis of diagnostic utility of CT angiography.
• Comparison of open and endovascular revascularization techniques.

Main Results:

• CT angiography is the preferred diagnostic tool for early detection of AMI.
• Both open and endovascular revascularization have demonstrated efficacy, with ongoing debate on preference.
• Indications for re-operations and damage control tactics remain areas for further research.

Conclusions:

• Systematic use of CT angiography can facilitate early diagnosis of AMI.
• Optimal revascularization strategy for AMI is context-dependent and debated.
• Further research is needed to address unresolved tactical questions in AMI management.