Debate: Whether an endovascular-first strategy is the optimal approach for treating acute mesenteric ischemia

Martin Björck, Nathan Orr, Eric D. Endean

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Acute mesenteric ischemia continues to be a life-threatening insult in often-elderly patients with many comorbidities. Recognition and correct diagnosis can be an issue leading to delays in therapy that result in loss of bowel or life, or both. The basic surgical principals in treating acute mesenteric ischemia have long been early recognition, resuscitation, urgent revascularization, resection of necrotic bowel, and reassessment with second-look laparotomies. Endovascular techniques now offer a less invasive alternative, but whether an endovascular-first or open surgery-first approach is preferred in most patients is unclear. Our discussants will attempt to clarify these issues.

Original languageEnglish
Pages (from-to)767-772
Number of pages6
JournalJournal of Vascular Surgery
Volume62
Issue number3
DOIs
StatePublished - Sep 1 2015

Bibliographical note

Publisher Copyright:
© 2015 Society for Vascular Surgery.

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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