Endovascular Management of Acute XXXX of the Superior Mesenteric Artery: A 12-Year Single-Centre Experience.

@entity1 @entity39 @entity6029 @entity887 @entity432 @entity5327
PURPOSE: Retrospective evaluation of 12-year experience with endovascular management of @entity5327 ( @entity5327 ) due to @entity432 of the @entity6029 ( @entity6029 ). MATERIALS AND METHODS: From 2003 to 2014, we analysed the in-hospital mortality of 37 @entity1 with acute @entity887 who underwent primary endovascular therapy with subsequent on-demand laparotomy. @entity887 was used in all 37 @entity1 (19 @entity1 , 18 @entity1 , median age 76  years) with @entity432 of the @entity6029 . Adjunctive local thrombolysis (n  =  2) and stenting (n  =  2) were also utilised. RESULTS: We achieved complete recanalization of the @entity6029 stem in 91.9  %. One @entity1 was successfully treated by surgical embolectomy due to a failed endovascular approach. Subsequent exploratory laparotomy was performed in 73.0  % (n  =  27), and @entity39 bowel resection in 40.5  %. The total in-hospital mortality was 27.0  %. CONCLUSION: Primary endovascular therapy for acute @entity432 with on-demand laparotomy is a recommended algorithm used in our centre to treat @entity432 . This combined approach for the treatment of @entity5327 is associated with in-hospital mortality rate of 27.0  %.
