Related Experiment Video

Updated: Sep 16, 2025

Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

740

CIRSE Standards of Practice for the Interventional Radiology Management of Acute and Chronic Arterial Mesenteric

Romaric Loffroy1, Antonio Basile2, Edit Dósa3

  • 1Department of Vascular and Interventional Radiology, François-Mitterrand University Hospital, Dijon, France.

Cardiovascular and Interventional Radiology
|July 10, 2025
PubMed

Insights

Endovascular intervention is the primary treatment for arterial mesenteric ischaemia, offering high success rates and lower mortality compared to open surgery. Long-term monitoring and antiplatelet therapy are crucial for managing this condition.

Area of Science:

  • Interventional Radiology
  • Vascular Surgery
  • Gastroenterology

Background:

  • Mesenteric ischaemia, caused by arterial occlusion, presents acutely or chronically.
  • Atherosclerosis and arterial thromboembolism are common underlying causes.
  • Diagnosing associated bowel necrosis remains a clinical challenge.

Purpose of the Study:

  • To provide best-practice recommendations for interventional radiology management of mesenteric ischaemia.
  • To outline current treatment strategies for acute and chronic mesenteric ischaemia.
  • To address the role of endovascular intervention versus open surgery.

Main Methods:

  • Consensus-based recommendations developed by a writing group.
  • Expertise from six clinicians in arterial mesenteric ischaemia management.
  • Pragmatic literature search on PubMed (2013-2024).

Main Results:

  • Endovascular interventions demonstrate very high technical success rates.
  • Lower complication rates observed with endovascular compared to open surgery.
  • Shorter patency times may occur with endovascular methods, necessitating monitoring.

Conclusions:

  • Endovascular intervention is the preferred primary treatment for mesenteric ischaemia.
  • Post-intervention care includes antiplatelet therapy and recurrence monitoring.
  • Further research may focus on optimizing long-term patency.
Abstract

Keywords:
Mesenteric ischaemiaPercutaneous transluminal angioplastyStentsSuperior mesenteric arterySurgical revascularisation

More Related Videos

Targeting the Rat's Small Bowel: Long-Term Infusion into the Superior Mesenteric Artery07:12

Targeting the Rat's Small Bowel: Long-Term Infusion into the Superior Mesenteric Artery

Published on: April 8, 2021

4.5K
Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

5.3K

Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
32
Imaging Studies VII: Vascular Imaging01:19

Imaging Studies VII: Vascular Imaging

DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
62
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
32
Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
171
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
29
Angina IV: Management01:26

Angina IV: Management

IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
28