Ierardi Anna Maria, Tsetis Dimitrios, Sbaraini Sara, Angileri Salvatore Alessio, Galanakis Nikolaos, Petrillo Mario, Patella Francesca, Panella Silvia, Balestra Federica, Lucchina Natalie, Carrafiello Gianpaolo
Department of Diagnostic and Interventional Radiology, University of Milan, San Paolo Hospital, Milan, Italy (Anna Maria Ierardi, Sara Sbaraini, Salvatore Alessio Angileri, Mario Petrillo, Francesca Patella, Silvia Panella, Federica Balestra, Gianpaolo Carrafiello).
Interventional Radiology Unit, Department of Medical Imaging, University Hospital of Heraklion, School of Medicine, University of Crete, Greece (Dimitrios Tsetis, Nikolaos Galanakis).
Ann Gastroenterol. 2017;30(5):526-533. doi: 10.20524/aog.2017.0164. Epub 2017 May 30.
Endovascular therapy, including aspiration thrombectomy and local thrombolytic therapy, often associated with angioplasty and stent placement, has been described in the literature. The purpose of this study was to review case series of patients with acute mesenteric ischemia treated with endovascular therapy and evaluate their outcomes.
An online review using PubMed was carried out to identify all English articles about this topic in the time interval from 2005 to 2016.
number of patients, cause of occlusion, symptoms, arteries involved, number of sessions of treatment, technical success, clinical success, recurrence rate, complications, mortality rate, number of patients who underwent diagnostic laparoscopy or surgical resection of ischemic bowel.
Eighteen papers met the inclusion criteria and were included. Among the patients with arterial mesenteric ischemia treated with endovascular approach, the technical success rate was high (up to 100%) and data regarding clinical success are encouraging, even though they are few and heterogeneous. Technical success rate and clinical success of patients with acute venous mesenteric ischemia approached with endovascular treatment was 74-100% and 87.5-100% respectively.
Current advances in endovascular therapies have made these treatments feasible for mesenteric ischemia.
血管内治疗，包括抽吸血栓切除术和局部溶栓治疗，常与血管成形术和支架置入术联合应用，已在文献中有所描述。本研究的目的是回顾接受血管内治疗的急性肠系膜缺血患者的病例系列，并评估其治疗结果。
利用PubMed进行在线检索，以确定2005年至2016年期间关于该主题的所有英文文章。
患者数量、闭塞原因、症状、受累动脉、治疗次数、技术成功率、临床成功率、复发率、并发症、死亡率、接受诊断性腹腔镜检查或缺血肠段手术切除的患者数量。
18篇论文符合纳入标准并被纳入。在接受血管内治疗的动脉性肠系膜缺血患者中，技术成功率很高（高达100%），尽管关于临床成功率的数据较少且不统一，但仍令人鼓舞。接受血管内治疗的急性静脉性肠系膜缺血患者的技术成功率和临床成功率分别为74%-100%和87.5%-100%。
血管内治疗的当前进展已使这些治疗方法对肠系膜缺血可行。
