Diagnostic Angiography
Fig. 8.1 Diagnostic aortography in a patient with chronic mesenteric ischemia. Note that both the celiac axis and superior mesenteric artery origin is not opacified in anterolateral projection (a). The…
Clinical Presentation, Etiology, and Diagnostic Considerations of Isolated Visceral Artery Dissections
Symptom Number of patients (%) Abdominal pain 231 (78) Nausea 27 (9.1) Vomiting 21 (7.1) Ileus 11 (3.7) Bloody stool 10 (3.4) Diarrhea 8 (2.7) Emaciation 6 (2.0) Asymptomatic 47…
Laparoscopic Transperitoneal Approach
Fig. 29.1 Retrogastric approach At this point, approaching the MAL can be performed by three different techniques. The first technique is to follow the right crus of the diaphragm posteriorly…
Results of Open and Endovascular Revascularization for Acute Mesenteric Ischemia
Fig. 20.1 Procedures performed for AMI from 1988 to 2006. Results from the US Nationwide Inpatient Sample (From Schermerhorn et al. [8], with permission) Fig. 20.2 Mortality rates by method…
Treatment of Mesenteric Venous Thrombosis
Fig. 24.1 CT showing thrombus in the superior mesenteric vein From a strictly historic standpoint, interventions to “debulk” the thrombus, relieve the venous obstruction, and decrease venous hypertension have been…
Techniques of Open and Hybrid Mesenteric Revascularization for Acute Mesenteric Ischemia
Fig. 17.1 Superior mesenteric artery exposed with proximal and distal control (By permission of Mayo Foundation for Medical Education and Research. All rights reserved) Exposure and Control of the Supraceliac…
Clinical Presentation and Diagnostic Considerations
Fig. 27.1 A 50-year-old woman with 15-lb weight loss and upper abdominal pain. (a) Lateral aortogram during inspiration demonstrates a widely patent celiac artery origin (arrow). (b) Lateral aortogram during…
Clinical Presentation, Etiology, and Diagnostic Considerations
Etiology Presentation Risk factors Arterial embolism Acute catastrophe Arrhythmia MI/cardiomyopathy Ventricular aneurysm Rheumatic valve disease Thoracic aortic thrombus Arterial thrombosis Acute/insidious, progressive Atherosclerosis Prolonged hypotension Hypovolemia Hypercoagulable state Nonocclusive mesenteric…
Open Surgical and Endovascular Revascularizations of Isolated Visceral Artery Dissections
Fig. 32.1 Open surgical repair of thrombosed superior mesenteric artery dissection (SMAD) with aneurysmal dilatation in a 78-year-old male who presented with abdominal pain. (a) SMAD on sagittal view of…
Results of Medical, Interventional, and Surgical Treatment
Fig. 33.1 Proposed treatment algorithm for patients presenting with SIVAD In patients who are suitable candidates for medical management, the role of anticoagulation and antiplatelet therapy is unclear. The rationale…
