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September 10, 2025Vascular and Endovascular Surgery

Etiology is a Factor when Choosing Endovascular or Open Treatment for Acute Mesenteric Ischemia

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Authors

TNTejas NandurkarUniversity of KentuckyOMOlivia H. MillayUniversity of KentuckyEEEric D. EndeanUniversity of Kentucky

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Overview

Comparison of endovascular therapy and open treatment shows trends in mortality and recovery in AMI patients, suggesting the importance of etiology.

Key Points

  • Endovascular treatment showed a trend toward lower mortality compared to open treatment for AMI.
  • Patients treated endovascularly had a shorter ICU length of stay, averaging 5.5 days versus 13.5 days.
  • A significant portion of patients in the endovascular group required laparotomy or laparoscopy, indicating the complexity of treatment.
  • Etiology of AMI, such as thrombosis or embolism, should guide treatment choice and prompt conversion to open procedures if necessary.

Cite This Study

Nandurkar et al. (2025) studied this question.

synapsesocial.com/papers/68c1dd9b54b1d3bfb60fc1ffhttps://doi.org/10.1177/15385744251375257
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Endovascular versus open revascularization for acute arterial occlusive mesenteric ischemia: a retrospective single center analysis2025
  2. 2Current approaches to diagnosis and management of Acute Mesenteric Ischaemia – a scoping review2025 · 4 citations
  3. 3TREATMENT STRATEGY AND INTERVENTION TIMING IN ELDERLY PATIENTS WITH ACUTE MESENTERIC ISCHEMIA: A MULTICENTER RETROSPECTIVE COHORT STUDY2026
  4. 4Is open surgery or endovascular therapy best to treat acute mesenteric occlusive disease?2013 · 26 citations
  5. 5Endovascular Aspiration Thrombectomy of the Superior Mesenteric Artery for Treatment of Acute Mesenteric Ischemia: Results From the ENDO-SMA2MI Registry2026