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Volume 11 Supplement 1

XXIII Annual Meeting of the Italian Society of Geriatric Surgery

Endovascular repair for acute mesenteric ischemia: case report

BMC Geriatrics volume 11, Article number: A17 (2011) Cite this article

Background

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%.

Methods

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.

Results

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

Conclusions

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

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Author information

Authors and Affiliations

  1. Department of Vascular and General Surgery, Faculty of Medicine “La Sapienza”, Roma, Italy

    L Fiengo, C Paciotti, G Patrizi, L Venturini & A Redler

  2. Department of Vascular and Interventional Radiology, Faculty of Medecine “La Sapienza”, Roma, Italy

    A Pucci, F Fanelli, A Bruni & M Allegritti

Authors
  1. L Fiengo
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  2. C Paciotti
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  3. G Patrizi
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  4. L Venturini
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  5. A Pucci
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  6. F Fanelli
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  7. A Bruni
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  8. M Allegritti
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  9. A Redler
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Corresponding author

Correspondence to L Fiengo.

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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 (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fiengo, L., Paciotti, C., Patrizi, G. et al. Endovascular repair for acute mesenteric ischemia: case report. BMC Geriatr 11 (Suppl 1), A17 (2011). https://doi.org/10.1186/1471-2318-11-S1-A17

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  • DOI: https://doi.org/10.1186/1471-2318-11-S1-A17

Keywords

  • Venous Thrombosis
  • Superior Mesenteric Artery
  • Endovascular Intervention
  • Mesenteric Ischemia
  • Endovascular Therapy

BMC Geriatrics

ISSN: 1471-2318

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