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November 1, 2025Journal of Surgical Case ReportsOpen Access

Endovascular approach for acute-on-chronic mesenteric ischemia: the holy grail for old and frail patients

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Authors

RCRoberto CunhaNCNuno CoelhoACAndreia Coelho

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Overview

Case report demonstrates endovascular revascularization improves outcomes in frail patients with acute mesenteric ischemia, indicating a viable alternative to open surgery.

Key Points

  • To assess the feasibility of endovascular techniques in treating acute mesenteric ischemia in frail patients.
  • Case report on a 76-year-old frail patient
  • Intervention involving endovascular revascularization of the superior mesenteric artery
  • Utilized percutaneous thrombectomy to avoid laparotomy
  • Successful revascularization of the superior mesenteric artery
  • Avoided need for open surgery
  • Demonstrated potential for endovascular-first approach in selected patients

Cite This Study

Cunha et al. (2025) studied this question.

synapsesocial.com/papers/69254377c0ce034ddc358bc2https://doi.org/10.1093/jscr/rjaf907
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Also Consider

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

  1. 1A Narrative Review of Endovascular Approaches for Chronic Mesenteric Ischemia2025
  2. 2Retroperitoneal approach for ilio-superior mesenteric artery bypass: Technique and case series2024
  3. 3Retrograde Endovascular Recanalization of the Superior Mesenteric Artery for the Treatment of Acute Bowel Ischemia: Case Report2024 · 1 citations
  4. 4Endovascular Management of Intestinal Ischemia2024
  5. 5Current approaches to diagnosis and management of Acute Mesenteric Ischaemia – a scoping review2025 · 4 citations