Open AccessIN-HOSPITAL AND SHORT-TERM OUTCOMES OF ENDOVASCULAR TREATMENT IN PATIENTS WITH ACUTE THROMBOEMBOLIC OCCLUSION OF THE SUPERİOR MESENTERİC ARTERY
Author(s) -
Yusuf Can,
İbrahim Kocayiğit,
Muhammed Necati Murat Aksoy,
Emrah Akın,
Burak Kamburoğlu,
Harun Kılıç,
Ramazan Akdemir
Publication year - 2021
Publication title -
pakistan heart journal
Language(s) - English
Resource type - Journals
eISSN - 2227-9199
pISSN - 0048-2706
DOI - 10.47144/phj.v54i2.2097
Subject(s) - medicine , laparotomy , occlusion , surgery , endovascular treatment , superior mesenteric artery , mortality rate , mechanical ventilation , anesthesia , aneurysm
Objectives: To investigate the outcome of endovascular treatment in acute thromboembolic occlusion of the superior mesenteric artery.
Methodology: Eighteen consecutive patients who underwent endovascular treatment in acute thromboembolic occlusion of the superior mesenteric artery from January 2013 to September 2019 were included in the study. Thirty-day mortality, avoidance of laparotomy, angiographic success, length of hospital stay and complication rates were assessed.
Results: The patients were 46 to 87 (70.5 ± 13.0) year-old, and 9 (50%) were male. In our study, 30-day mortality rate was 33.3%. The remaining patients were discharged uneventfully. Our complete and partial success rates was 61.1% and 38.9% respectively on angiographic assessment. The mean length of hospital stay was 7.8 ± 5.0 days in the remaining patients. Short bowel syndrome, respiratory failure requiring mechanical ventilation support or renal failure requiring dialysis were not observed in remaining patients. Laparotomy was needed for eight patients after endovascular treatment.
Conclusion: The data showed that endovascular treatment is a technically feasible, effective and reliable alternative treatment method in a selected group of patients with acute thromboembolic occlusion of the superior mesenteric artery.