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December 11, 2025Langenbeck s Archives of SurgeryOpen Access

Endovascular versus open revascularization for acute arterial occlusive mesenteric ischemia: a retrospective single center analysis

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Authors

DPDominik PeterLKLars KollmannATAnnette Thurner

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Overview

Retrospective analysis shows similar outcomes for in-hospital mortality and bowel resection in AAOMI patients undergoing revascularization.

Key Points

  • This study aimed to compare outcomes of open versus endovascular revascularization in patients with acute arterial occlusive mesenteric ischemia.
  • Retrospective analysis of 100 patients with AAOMI from January 2004 to July 2024.
  • Patients were grouped based on the type of revascularization: open surgical or endovascular.
  • Outcomes measured included in-hospital mortality, bowel resection rates, incidence of short bowel syndrome, and length of hospital and ICU stay.
  • In-hospital mortality was 48.1% for open revascularization and 33.3% for endovascular revascularization.
  • 53.2% of patients in the open group required bowel resection, compared to 47.6% in the endovascular group.
  • Median hospital stay was 15 days for open surgical patients versus 11 days for those treated with endovascular techniques.

Cite This Study

Peter et al. (2025) studied this question.

synapsesocial.com/papers/69401b262d562116f28f7832https://doi.org/10.1007/s00423-025-03948-6
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Also Consider

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