From: Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery
Endovascular procedure | Advantages and challenges | References |
---|---|---|
Aspiration embolectomy | Lower mortality Patients without peritonitis Repeat procedures | |
SMA thrombolysis | Bleeding complications Laparotomy required in 38% Patients without peritonitis Contraindicated: recent surgery, trauma, cerebrovascular or gastrointestinal bleeding, and uncontrolled hypertension | [102] |
Antegrade stenting | Risk of dissection Unfavorable artery angulation | [103] |
Retrograde stenting | Laparotomy necessary Avoiding bypass when necrotic bowel presents Success 94% |