Open Procedures for Mesenteric Ischemia

Abstract

Mesenteric ischemia is a relatively rare disease that requires prompt diagnosis and treatment to preserve bowel and prevent mortality. Despite endovascular advances, open revascularization remains essential to reestablish blood flow in patients with either acute or chronic mesenteric ischemia. Open revascularization continues to provide excellent primary patency and durable relief of symptoms with acceptable morbidity and mortality. Acute mesenteric ischemia warrants prompt evaluation of the bowel for signs of infarction, and determining the etiology of the ischemia is critical to planning revascularization. Hybrid procedures provide a viable solution in those patients who are moribund and require revascularization and bowel resection. Key words: duplex graft surveillance, mesenteric bypass, mesenteric ischemia, open revascularization, retrograde open mesenteric stenting