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Techniques of Open and Hybrid Mesenteric Revascularization for Acute Mesenteric Ischemia

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Mesenteric Vascular Disease

Abstract

Despite many advances in technology and treatment of vascular disease over the last decade, acute mesenteric ischemia (AMI) continues to carry significant morbidity and mortality (Kougias P, Lau D, El Sayed HF, et al. Determinants of mortality and treatment outcome following surgical interventions for acute mesenteric ischemia. J Vasc Surg. 2007;46:467–74). While the use of endovascular therapy in the treatment of AMI has increased, open surgical revascularization remains the predominant treatment of AMI across the United States (Schermerhorn ML, Giles KA, Hamdan AD, et al. Mesenteric revascularization: management and outcomes in the United States, 1988–2006. J Vasc Surg. 2009;50:341–8). The procedure chosen to revascularize the bowel depends on the etiology of the mesenteric ischemia: embolectomy for arterial embolism or thromboendarterectomy, retrograde open mesenteric stenting, mesenteric bypass, or SMA reimplantation for thrombotic occlusion. In this chapter we will discuss the various techniques, open and hybrid (open and endovascular), utilized in the treatment of AMI.

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Author information

Authors and Affiliations

  1. Division of Vascular Surgery, Department of Surgery, Eastern Virginia Medical School, Norfolk, VA, USA

    Jason R. Moore MD, Sadaf Sadie Ahanchi MD & Jean M. Panneton MD, FACS, FRCSC

  2. Sentara Heart Hospital, Norfolk, VA, USA

    Jason R. Moore MD, Sadaf Sadie Ahanchi MD & Jean M. Panneton MD, FACS, FRCSC

Authors
  1. Jason R. Moore MD
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  2. Sadaf Sadie Ahanchi MD
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  3. Jean M. Panneton MD, FACS, FRCSC
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Correspondence to Jean M. Panneton MD, FACS, FRCSC .

Editor information

Editors and Affiliations

  1. Division of Vascular and Endovascular Therapy, Mayo Clinic Gonda Vascular Center, Rochester, Minnesota, USA

    Gustavo S. Oderich

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Moore, J.R., Ahanchi, S.S., Panneton, J.M. (2015). Techniques of Open and Hybrid Mesenteric Revascularization for Acute Mesenteric Ischemia. In: Oderich, G. (eds) Mesenteric Vascular Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1847-8_17

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  • DOI: https://doi.org/10.1007/978-1-4939-1847-8_17

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1846-1

  • Online ISBN: 978-1-4939-1847-8

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