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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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Non-occlusive mesenteric ischemia during acute stroke management: three case reports
Kazuki Fujii1, Tadahiko Seki2, Yasuyuki Nakata2
1Nara Prefecture General Medical Center, 2-897-5, Schichijo Nishimachi, Nara, Nara, 630-8581, Japan. kazuki.fujii3@gmail.com.
Surgical Case Reports
|February 28, 2022
Summary
Acute stroke patients may develop non-occlusive mesenteric ischemia (NOMI) due to strict blood pressure control and early enteral nutrition. This condition reduces intestinal blood flow, particularly in older adults with arteriosclerosis.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Neurology
Background:
- Non-occlusive mesenteric ischemia (NOMI) is frequently reported in patients undergoing hemodialysis or cardiac surgery.
- Reports of NOMI in acute stroke patients are rare, highlighting a gap in current medical literature.
Purpose of the Study:
- To investigate the occurrence and potential contributing factors of non-occlusive mesenteric ischemia in patients with acute stroke.
- To raise awareness among clinicians regarding this rare but serious complication.
Main Methods:
- Case series reporting on three patients who developed NOMI during acute stroke treatment.
- Analysis of patient data focusing on blood pressure management and nutritional support, including enteral feeding.
Main Results:
- All three patients experienced NOMI onset during acute stroke management.
- Two patients developed NOMI shortly after tracheostomy and resumption of enteral nutrition.
- Strict blood pressure control was a common factor among the affected patients.
Conclusions:
- Acute stroke patients, often elderly with arteriosclerosis, are susceptible to NOMI.
- Strict blood pressure control during stroke management can decrease intestinal blood flow.
- Early initiation of enteral nutrition may be an additional risk factor for NOMI in this patient population.
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