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KMID : 1103720110650040345
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Journal of the Korean Society of Radiology
2011 Volume.65 No. 4 p.345 ~ p.356
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Proper Treatment of Acute Mesenteric Ischemia
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Kim Sung-Kwan
Han Young-Min
Kwak Hyo-Sung
Yu Hee-Chul
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Abstract
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Purpose:To evaluate the effectiveness of treatment options for Acute Mesenteric Ischemia and establish proper treatment guidelines.
Materials and Methods :From January 2007 to May 2010, 14 patients (13 men and 1 woman, mean age: 52.1 years) with acute mesenteric ischemia were enrolled in this study. All of the lesions were detected by CT scan and angiography. Initially, 4 patients underwent conservative treatment. Eleven patients were managed by endovascular treatment. We evaluated the therapeutic success and survival rate of each patient.
Results:The causes of ischemia included thromboembolism in 6 patients and dissection in 8 patients. Nine patients showed bowel ischemia on CT scans, 4 dissection patients underwent conservative treatment, 3 patients had recurring symptoms, and 5 dissection patients underwent endovascular treatment. Overall success and survival rate was 100%. However, overall success was 83% and survival rate was 40% in the 6 thromboembolism patients. The choice of 20 hours as the critical time in which the procedure is ideally performed was statistically significant (p = 0.0476).
Conclusion:A percutaneous endovascular procedure is an effective treatment for acute mesenteric ischemia, especially in patients who underwent treatment within 20 hours. However, further study and a long term follow-up are needed.
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KEYWORD
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Percutaneous Endovascular Treatment , Superior Mesenteric Artery , Acute Mesenteric Ischemia
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