Endovascular Treatment of Mesenteric Occlusive Disease

Carlos F. Bechara, Peter H. Lin

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Mesenteric ischemia has been traditionally treated with open surgery. This carried a significant morbidity and mortality. Endovascular therapy use has been on the rise due to its popular use in treating atherosclerotic lesions. Endovascular therapy is very attractive due to its lower morbidity and mortality. However, patency and functional outcome in comparison to open surgery is still being scrutinized. Endovascular therapy use has surpassed open bypass surgery in treating chronic mesenteric ischemia. There are no randomized studies to compare the two treatment modalities. Endovascular therapy is an attractive first line of treatment in patients with mesenteric ischemia specially in the high risk patient with no evidence of bowel ischemia. Bypass should be entertained in patients who are good surgical candidates. Acute mesenteric ischemia could be treated by endovascular means but the assessment of bowel ischemia is still a challenge.

Original languageEnglish (US)
Title of host publicationHaimovici's Vascular Surgery
Subtitle of host publication6th Edition
PublisherWiley
Pages653-663
Number of pages11
ISBN (Print)9781444330717
DOIs
StatePublished - Oct 1 2012

Keywords

  • Angioplasty
  • Bypass
  • Endovascular therapy
  • Mesenteric ischemia

ASJC Scopus subject areas

  • Medicine(all)

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