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Mesenteric Ischemia

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Validation of the American Association for the Surgery of Trauma grading system for acute mesenteric ischemia-More than anatomic severity is needed to determine risk of mortality.
Sindall ME, Davenport DL, Wallace P, Bernard AC.
J Trauma 2020 May;88(5):671-676.

Rationale for Inclusion: This study evaluating the correlation between the AAST grading scale for AMI and complication severity found that CT, pathology and clinical grades did not correlate with mortality or outcome severity.

CAVEAT: Single center retrospective chart review

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Effect of timing on endovascular therapy and exploratory laparotomy outcome in acute mesenteric ischemia
Hsu A, Bhattacharya KR, Chan HK, Huber TC, Gardner B, Stone JR, Angle JF. 
Ann Gastroenterol. 2019 Nov-Dec; 32(6): 600–604.

Rationale for Inclusion: Retrospective study demonstrating that emergent endovascular treatment prior to laparotomy may be associated with improved survival.

CAVEAT: small number of patients, retrospective study design

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Thirty-Day Outcomes After Open Revascularization for Acute Mesenteric Ischemia From the American College of Surgeons National Surgical Quality Improvement Program
Swerdlow NJ, Varkevisser R, Soden PA, Zettervall SL, McCallum JC, Li C, Wyers MC, Schermerhorn ML.
Ann Vasc Surg. 2019;61:148-155.

Rationale for Inclusion: NSQIP study evaluating 30-day mortality and preoperative risk factors for mortality after open revascularization for AMI.

CAVEAT: Large retrospective database study

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

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