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Table 2 Endovascular procedures in occlusion of SMA

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

[100, 101]

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%

[104,105,106]