Matches in SemOpenAlex for { <https://semopenalex.org/work/W3204237637> ?p ?o ?g. }
Showing items 1 to 87 of
87
with 100 items per page.
- W3204237637 endingPage "e362" @default.
- W3204237637 startingPage "e362" @default.
- W3204237637 abstract "Often sacrificed in favor of the celiac and superior mesenteric arteries, the inferior mesenteric artery (IMA) can provide crucial inflow to the abdominopelvic viscera and spinal cord, especially in the presence of concomitant celiac or superior mesenteric artery (SMA) disease. We sought to elucidate the presentation and course of patients who had undergone IMA-specific revascularization. A retrospective analysis was performed of IMA revascularization procedures performed at an urban quaternary center from 2010 to 2020. Patients were included if concomitant renal artery, celiac artery, or SMA revascularization had been performed. Angioplasty, stenting, and open procedures were included. The patient characteristics, indications, and perioperative and long-term outcomes were analyzed. From 2010 to 2020, 10 patients had met the inclusion and exclusion criteria. Of the 10 patients, 9 were women (90%). Their median age was 71 years (range 47-88), and 80% had a history of smoking. Six patients had undergone elective IMA revascularization for chronic disease. Of the remaining four patients with acute symptoms, two had presented with an acute-on-chronic exacerbation of symptoms. All four patients with acute symptoms had presented as hospital transfers and had undergone intervention within 12 hours of transfer. However, two patients had had symptoms lasting >8 days before transfer. The 10 patients had undergone 16 procedures. Of the 10 patients, 8 had undergone IMA stenting, 1 had undergone percutaneous transluminal angioplasty alone, and 1 had undergone open IMA and aortic endarterectomy with patch angioplasty. Four patients had received concomitant celiac artery or SMA revascularization, with a large meandering mesenteric artery determining the choice to revascularize the IMA. In the six patients without celiac artery or SMA revascularization, three patients had had known SMA and celiac artery occlusions, and one had had a known occluded celiomesenteric trunk. In the four patients with acute symptoms, three small bowel resections and two laparotomies without bowel resection were performed. Six patients had required intensive care unit admission. Seven patients had had >1 year patency or had been lost to follow-up without known failure of IMA revascularization. Two patients died within 30 days with patent IMAs after withdrawal of care because of necrotic small bowel requiring resection. Two patients had undergone aortovisceral bypass after IMA occlusion—one patient on the day after IMA stenting and one patient at 17 months after IMA stenting. Revascularization of the IMA can serve as a reliable salvage option for patients with chronic or acute-on-chronic mesenteric ischemia, and should be considered for patients with high-grade stenosis or occlusion of the celiac artery and SMA." @default.
- W3204237637 created "2021-10-11" @default.
- W3204237637 creator A5013542315 @default.
- W3204237637 creator A5025999561 @default.
- W3204237637 creator A5029047407 @default.
- W3204237637 creator A5073880360 @default.
- W3204237637 creator A5081890576 @default.
- W3204237637 creator A5084185232 @default.
- W3204237637 creator A5086141827 @default.
- W3204237637 date "2021-10-01" @default.
- W3204237637 modified "2023-09-26" @default.
- W3204237637 title "Inferior Mesenteric Artery Revascularization for Salvage of Mesenteric Ischemia" @default.
- W3204237637 doi "https://doi.org/10.1016/j.jvs.2021.07.054" @default.
- W3204237637 hasPublicationYear "2021" @default.
- W3204237637 type Work @default.
- W3204237637 sameAs 3204237637 @default.
- W3204237637 citedByCount "0" @default.
- W3204237637 crossrefType "journal-article" @default.
- W3204237637 hasAuthorship W3204237637A5013542315 @default.
- W3204237637 hasAuthorship W3204237637A5025999561 @default.
- W3204237637 hasAuthorship W3204237637A5029047407 @default.
- W3204237637 hasAuthorship W3204237637A5073880360 @default.
- W3204237637 hasAuthorship W3204237637A5081890576 @default.
- W3204237637 hasAuthorship W3204237637A5084185232 @default.
- W3204237637 hasAuthorship W3204237637A5086141827 @default.
- W3204237637 hasBestOaLocation W32042376371 @default.
- W3204237637 hasConcept C126322002 @default.
- W3204237637 hasConcept C126838900 @default.
- W3204237637 hasConcept C141071460 @default.
- W3204237637 hasConcept C164705383 @default.
- W3204237637 hasConcept C2776634560 @default.
- W3204237637 hasConcept C2776696333 @default.
- W3204237637 hasConcept C2776820930 @default.
- W3204237637 hasConcept C2776926547 @default.
- W3204237637 hasConcept C2779384505 @default.
- W3204237637 hasConcept C2779464278 @default.
- W3204237637 hasConcept C2779745121 @default.
- W3204237637 hasConcept C2780091579 @default.
- W3204237637 hasConcept C2780326628 @default.
- W3204237637 hasConcept C2780601773 @default.
- W3204237637 hasConcept C2780813298 @default.
- W3204237637 hasConcept C2781046184 @default.
- W3204237637 hasConcept C2987047532 @default.
- W3204237637 hasConcept C500558357 @default.
- W3204237637 hasConcept C541997718 @default.
- W3204237637 hasConcept C71924100 @default.
- W3204237637 hasConceptScore W3204237637C126322002 @default.
- W3204237637 hasConceptScore W3204237637C126838900 @default.
- W3204237637 hasConceptScore W3204237637C141071460 @default.
- W3204237637 hasConceptScore W3204237637C164705383 @default.
- W3204237637 hasConceptScore W3204237637C2776634560 @default.
- W3204237637 hasConceptScore W3204237637C2776696333 @default.
- W3204237637 hasConceptScore W3204237637C2776820930 @default.
- W3204237637 hasConceptScore W3204237637C2776926547 @default.
- W3204237637 hasConceptScore W3204237637C2779384505 @default.
- W3204237637 hasConceptScore W3204237637C2779464278 @default.
- W3204237637 hasConceptScore W3204237637C2779745121 @default.
- W3204237637 hasConceptScore W3204237637C2780091579 @default.
- W3204237637 hasConceptScore W3204237637C2780326628 @default.
- W3204237637 hasConceptScore W3204237637C2780601773 @default.
- W3204237637 hasConceptScore W3204237637C2780813298 @default.
- W3204237637 hasConceptScore W3204237637C2781046184 @default.
- W3204237637 hasConceptScore W3204237637C2987047532 @default.
- W3204237637 hasConceptScore W3204237637C500558357 @default.
- W3204237637 hasConceptScore W3204237637C541997718 @default.
- W3204237637 hasConceptScore W3204237637C71924100 @default.
- W3204237637 hasIssue "4" @default.
- W3204237637 hasLocation W32042376371 @default.
- W3204237637 hasOpenAccess W3204237637 @default.
- W3204237637 hasPrimaryLocation W32042376371 @default.
- W3204237637 hasRelatedWork W2018724160 @default.
- W3204237637 hasRelatedWork W2032949453 @default.
- W3204237637 hasRelatedWork W2069813545 @default.
- W3204237637 hasRelatedWork W2099089705 @default.
- W3204237637 hasRelatedWork W2278138567 @default.
- W3204237637 hasRelatedWork W2327420609 @default.
- W3204237637 hasRelatedWork W2361000960 @default.
- W3204237637 hasRelatedWork W2403281239 @default.
- W3204237637 hasRelatedWork W2427572819 @default.
- W3204237637 hasRelatedWork W4244355733 @default.
- W3204237637 hasVolume "74" @default.
- W3204237637 isParatext "false" @default.
- W3204237637 isRetracted "false" @default.
- W3204237637 magId "3204237637" @default.
- W3204237637 workType "article" @default.