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Acute Mesenteric Ischemia

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Endovascular therapy as a primary revascularization modality in acute mesenteric ischemia.
Kärkkäinen JM, Lehtimäki TT, Saari P, Hartikainen J, Rantanen T, Paajanen H, Manninen H.
Cardiovasc Intervent Radiol. 2015 Oct;38(5):1119-29.

Rationale for inclusion: This retrospective review looking at an endovascular approach to acute mesenteric ischemia (AMI) found that endovascular therapy can be attempted in most cases with favorable outcomes and no increased risk of complications.

Citations -17 (as of July 2017)

Outcome of acute mesenteric ischemia in the intensive care unit: a retrospective, multicenter study of 780 cases.
Leone M, Bechis C, Baumstarck K, Ouattara A, Collange O, Augustin P, Annane D, Arbelot C, Asehnoune K, Baldési O, Bourcier S, Delapierre L, Demory D, Hengy B, Ichai C, Kipnis E, Brasdefer E, Lasocki S, Legrand M, Mimoz O, Rimmelé T, Aliane J, Bertrand PM, Bruder N, Klasen F, Friou E, Lévy B, Martinez O, Peytel E, Piton A, Richter E, Toufik K, Vogler MC, Wallet F, Boufi M, Allaouchiche B, Constantin JM, Martin C, Jaber S, Lefrant JY.
Intensive Care Med. 2015 Apr;41(4):667-76.

Rationale for inclusion: This study is a multi-center, retrospective study conducted in 43 French intensive care units, 38 of which were public hospitals. The authors identified 780 patients with acute mesenteric ischemia with 58% of those patients not surviving to ICU discharge. Multiple patient characteristics were more common in non-survivors (older age, presence of cancer, shock, and higher lactates; to name a few).

Citations – 32 (as of July 2017)

Modern treatment of acute mesenteric ischaemia.
Acosta S, Bjorck M.
Br J Surg. 2014 Jan;101(1):e100-8.

Rationale for inclusion: Though not a “landmark” research article, this review of acute mesenteric ischemia describes the modern approach to the condition.

Citations - 79 (as of July 2017)

Risk of arterial thrombotic events in inflammatory bowel disease.
Ha C, Magowan S, Accortt NA, Chen J, Stone CD.
Am J Gastroenterol. 2009 Jun;104(6):1445-51.

Rationale for inclusion: This paper explores the relationship between inflammatory bowel disease and acute mesenteric ischemia by utilizing a large administrative database. The authors found a significantly higher risk of acute thrombotic intestinal events in patient with inflammatory bowel disease as compared to controls.

Citations - 132 (as of July 2017)

Evaluation of acute mesenteric ischemia: accuracy of biphasic mesenteric multi-detector CT angiography.
Aschoff AJ, Stuber G, Becker BW, Hoffmann MH, Schmitz BL, Schelzig H, Jaeckle T.
Abdom Imaging. 2009 May-Jun;34(3):345-57.

Rationale for inclusion: This study examines 79 patients with acute mesenteric ischemia and essentially validates multi-detector row helical computed tomography as an accurate and rapid diagnostic tool.

Citations - 186 (as of July 2017)

Identification of risk factors for perioperative mortality in acute mesenteric ischemia.
Acosta-Merida MA, Marchena-Gomez J, Hemmersbach-Miller M, Roque-Castellano C, Hernandez-Romero JM.
World J Surg. 2006 Aug;30(8):1579-85.

Rationale for inclusion: This is a retrospective study over a 10-year period that examines 132 patients undergoing operative therapy for acute mesenteric ischemia that identifies predictors of perioperative mortality.

Citations - 121 (as of July 2017)

Bedside diagnostic minilaparoscopy in the intensive care patient.
Gagné DJ, Malay MB, Hogle NJ, Fowler DL.
Surgery. 2002 May;131(5):491-6.

Rationale for inclusion: This paper represents one of the initial descriptions of bedside laparoscopy in the intensive care unit for the identification of intestinal and intra-abdominal pathologies in the patient with acidosis, abdominal pain, and suspected mesenteric ischemia.

Citations - 59 (as of July 2017)

Portomesenteric vein gas: pathologic mechanisms, CT findings, and prognosis.
Sebastià C, Quiroga S, Espin E, Boyé R, Alvarez-Castells A, Armengol M.
Radiographics. 2000 Sep-Oct;20(5):1213-24; discussion 1224-6.

Rationale for inclusion: This paper delves into the common imaging finding of portomesenteric gas and explores the different etiologies contributing to this finding. The paper itself has many informative figures exploring portal venous gas, pneumobilia, pneumatosis intestinalis, and pylephlebitis.

Citations - 239 (as of July 2017)

Acute mesenteric ischemia caused by spontaneous isolated dissection of the superior mesenteric artery: treatment by percutaneous stent placement.
Leung DA, Schneider E, Kubik-Huch R, Marincek B, Pfammatter T.
Eur Radiol. 2000;10(12):1916-9.

Rationale for inclusion: This case report is likely the first published experience of completely percutaneous stenting of the superior mesenteric artery for a flow-limiting dissection.

Citations - 177 (as of July 2017)

Long-term results after surgery for acute mesenteric ischemia.
Klempnauer J, Grothues F, Bektas H, Pichlmayr R.
Surgery. 1997 Mar;121(3):239-43.

Rationale for inclusion: This work is unique in its assessment of long-term outcomes after surgical intervention for acute mesenteric ischemia (AMI). Similar to other critical vascular pathologies involving tissue loss, the authors find the 5-year survival rate after surgical intervention for AMI is 50%.

Citations - 124 (as of July 2017)

Acute mesenteric ischemia: improved results--a retrospective analysis of ninety-two patients.
Levy PJ, Krausz MM, Manny J.
Surgery. 1990 Apr;107(4):372-80.

Rationale for inclusion: The authors of this study compare a historic cohort of patients undergoing only bowel resection and anastomosis for acute mesenteric ischemia to a more modern cohort of patients that underwent bowel resection with varying patients receiving revascularization, second-look procedures, and delayed anastomosis creation with improved survival in the latter group. The authors also propose an algorithm for the management of patients with acute mesenteric ischemia.

Citations - 154 (as of July 2017)

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