Treatment outcomes in patients with acute thromboembolic occlusion of the superior mesenteric artery.
Acute mesenteric ischemia
Acute superior mesenteric artery occlusion
Endovascular treatment
Opening surgery
Percutaneous mechanical thrombectomy
Superior mesenteric artery thromboembolism
Journal
Journal of cardiothoracic surgery
ISSN: 1749-8090
Titre abrégé: J Cardiothorac Surg
Pays: England
ID NLM: 101265113
Informations de publication
Date de publication:
16 Apr 2024
16 Apr 2024
Historique:
received:
06
10
2023
accepted:
29
03
2024
medline:
17
4
2024
pubmed:
17
4
2024
entrez:
16
4
2024
Statut:
epublish
Résumé
The goals of this study were to investigate the treatment outcomes of acute thromboembolic occlusion of the superior mesenteric artery (ATOS) and identify prognostic factors after treatment. The clinical data of 62 patients with ATOS between 2013 and 2021 were retrospectively reviewed. Patients were stratified by the treatment strategy, complications and mortality were compared in different group. Sixty-two consecutive patients were identified with ATOS. The median patient age was 69 years (interquartile range 58-79 years). Endovascular therapy was initiated in 21 patients, and 4 patients received conservative treatment. Open surgery was performed first in the remaining 37 patients. The technical success rates of the endovascular first group and open surgery group were 90.5% and 97.3%, respectively. One patient in the conservative treatment group had progression of ischemia to extensive bowel necrosis. There was no difference in 30-day mortality between these groups. Predictors of 30-day mortality included initial neutrophil count > 12* 103/dL, age over 60 years old and history of chronic renal insufficiency. Endovascular treatment or conservative treatment may be adopted in selected patients who do not exhibit signs and symptoms of bowel necrosis, and close monitoring for bowel necrosis is important. The increase in preoperative neutrophil count, age over 60 years old and history of chronic renal insufficiency were poor prognostic factors.
Identifiants
pubmed: 38627835
doi: 10.1186/s13019-024-02745-4
pii: 10.1186/s13019-024-02745-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
235Subventions
Organisme : Beijing Friendship Hospital Seed Project, Capital Medical University
ID : YYZZ202205
Organisme : National Natural Science Foundations of China
ID : No. 82000429
Organisme : Beijing Hospitals Authority Youth Program
ID : QML20210103
Organisme : Capital's Funds for Health Improvement and Research
ID : CFH 2022-4-20217
Informations de copyright
© 2024. The Author(s).
Références
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