Is acute mesenteric ischemia incurable situation? The current state of the problem

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Mortality rates in acute mesenteric ischemia remain at an extremely high level for many decades. Early diagnosis and selection of the optimal method of revascularization are among the ways to optimize tactics. The diagnostic study of choice is CT angiography. Its active and systemic use can help to detect ischemia at the reversible stage. The article examines in detail the indications for the application of this diagnostic study. The question of preference for the revascularization method remains debatable. The arguments of proponents of open and endovascular interventions on mesenteric vessels are presented. Other, still unresolved tactical issues are also considered, such as indications for re-operations and application of the principles of damage control tactics.

Keywords:

acute mesenteric ischemia

CT angiography

revascularization

mesenteric vessels

Authors:

Pankratov A.A.

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov;
City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department

Perehodov S.N.

City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department

Zelenin D.A.

City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department

Izrailov R.E.

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

SPIN RSCI: 7121-2776
Scopus AuthorID: 56571607000
ORCID: 0000-0001-7254-5411

Matkov I.V.

City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department

Received:

20.09.2020

Accepted:

10.10.2020

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