Skip to main content
  • Meeting abstract
  • Open access
  • Published:

Endovascular repair for acute mesenteric ischemia: case report


Acute mesenteric ischemia (AMI) is an abdominal emergency caused by: embolism (40-50%), with Superior Mesenteric Artery (SMA) thrombosis (20-25%), mesenteric venous thrombosis (5%) and non occlusive mesenteric ischemia (20%). The mortality rate is high and ranges from 64 to 93%.


We present a case of a 75-year-old patient with acute occlusive mesenteric ischemia that was successfully treated with endovascular intervention.

Angiography revealed high-grade stenosis of the proximal tract of the SMA. Immediate option for endovascular therapy was made, and a MARIS self-expandable 6x40 mm stent was positioned. The patient was discharged 2 days after with full recovery from the symptoms.


Control angiography showed the correct apposition of the stent and regular flow inside. The patient was symptom free 12 months later.


We suggest that the endovascular technique is a valid option in patients with AMI preventing intestinal infarction.

Figure 1
figure 1

A) Preoperative angiography. B) Angiography with stent apposition


  1. Peck MA, Conrad MF, Kwolek CJ, LaMuraglia GM, Paruchuri V, Cambria RP: Intermediate-outcomes of endovascular treatment for symptomatic chronic mesenteric ischemia. J Vasc Surg. 2010, 51: 140-7. 10.1016/j.jvs.2009.06.064.

    Article  PubMed  Google Scholar 

  2. Aksu C, Demirpolat G, Oran I, Parildar M, Memis A: Stent Implantation in Chronic Mesenteric Ischemia. Acta Radiol. 2009, 50: 610-616. 10.1080/02841850902953873.

    Article  CAS  PubMed  Google Scholar 

  3. Atkins MD, Kwolek CJ, LaMuraglia GM, Brewster DC, Chung TK, Cambria RP: Surgical revascularization versus endovascular therapy for chronic mesenteric ischemia: a comparative experience. J Vasc Surg. 2007, 45: 1162-71. 10.1016/j.jvs.2007.01.067.

    Article  PubMed  Google Scholar 

  4. Nyman U, Ivancev K, Lindh M, Uher P: Endovascular Treatment of Chronic Mesenteric Ischemia: report of Five Cases. Cardiovasc Intervent Radiol. 1998, 21: 301-313.

    Google Scholar 

  5. Demirpolat G, Oran I, Tamsel S, Parildar M, Memis A: Acute mesenteric ischemia: endovascular therapy. Abdom Imaging. 2007, 32: 299-303. 10.1007/s00261-006-9074-3.

    Article  PubMed  Google Scholar 

  6. Fioole B, van de Rest HJM, Meijer JRM, van Leersum M, van Koeverden S, Moll FL, van den Berg JC, de Vries PM JP: Percutaneous transluminal angioplasty and stenting as first-choice treatment is patients with chronic mesenteric ischemia. J Vasc Surg. 2010, 51: 386-391. 10.1016/j.jvs.2009.08.055.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to L Fiengo.

Rights and permissions

This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Reprints and permissions

About this article

Cite this article

Fiengo, L., Paciotti, C., Patrizi, G. et al. Endovascular repair for acute mesenteric ischemia: case report. BMC Geriatr 11 (Suppl 1), A17 (2011).

Download citation

  • Published:

  • DOI: