Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review

Authors

Jacob J Gries
Takashi Sakamoto
Bing Chen
Hafeez Ul Hassan Virk
Mahboob Alam
Chayakrit Krittanawong

Publication Date

2-21-2024

Journal

Journal of Clinical Medicine

DOI

10.3390/jcm13051217

PMID

38592672

PMCID

PMC10931623

PubMedCentral® Posted Date

2-21-2024

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

mesenteric ischemia, revascularization

Abstract

Mesenteric ischemia is a challenging condition characterized by insufficient blood perfusion to the mesentery and, consequently, intestinal tissues that continues to perplex clinicians. Despite its low prevalence, the condition’s variable clinical presentation and elusive radiographic diagnosis can delay life-saving interventions in the acute setting and deteriorate the quality of life of patients when left undiagnosed or misdiagnosed. Purpose: Review and summarize recent diagnostic updates and emergent intervention strategies for acute and chronic mesenteric ischemia. Methods: A narrative review of all relevant studies from January 2022 through September 2023. Results: A total of 11 studies from MEDLINE, supplemented with 44 studies from Google Scholar, were included in the review. Conclusions: Both acute and chronic mesenteric ischemia propose diagnostic and therapeutic challenges for interventionalists. Computed tomographic angiography remains the diagnostic modality of choice for both. Open surgical intervention remains the gold standard for acute mesenteric ischemia, while endovascular techniques are preferred for chronic mesenteric ischemia.

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