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Updated: Sep 30, 2025

Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

772

[CT angiography and endovascular treatment in acute mesenteric ischemia]

A A Pankratov1,2, A V Snitsar2, M I Vasilchenko2

  • 1Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.

Khirurgiia
|March 15, 2022
PubMed

Insights

This study highlights CT angiography for diagnosing acute mesenteric ischemia (AMI) early. Endovascular revascularization shows promise as a primary treatment, offering better outcomes than open surgery.

Area of Science:

  • Vascular Surgery
  • Diagnostic Imaging
  • Gastroenterology

Background:

  • Acute mesenteric ischemia (AMI) is a critical condition with high mortality.
  • Optimizing treatment strategies is crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate CT angiography for diagnosing AMI.
  • To assess the efficacy of endovascular repair versus open surgery for AMI.

Main Methods:

  • Retrospective analysis of 43 patients (mean age 76.4 years) with suspected AMI.
  • CT angiography was performed in 31 patients.
  • Endovascular interventions were attempted in 13 patients; open surgery in 15.

Main Results:

  • CT angiography demonstrated high diagnostic accuracy (95%) for AMI.
  • Endovascular intervention success rate was 61.5% (8/13), with a mortality of 37.5%.
  • Open surgery had a significantly higher mortality rate of 86.7%.

Conclusions:

  • CT angiography is a valuable tool for early diagnosis of AMI, enabling timely intervention.
  • Endovascular revascularization presents a promising first-line treatment option for AMI, associated with lower mortality compared to open surgery.
Abstract

Keywords:
CT angiographyacute mesenteric ischemiamesenteric vesselsrevascularization

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