Interventional Radiology
Online ISSN : 2432-0935

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Interventional Radiology in Treating Acute Mesenteric Arterial Occlusion: A Narrative Review
Koji SasakiTakuya OkadaMasato YamaguchiMasashi OzakiYutaro OkamotoAkihiro UmenoTomoharu YamanakaKeigo MatsushiroTomoyuki GentsuEisuke UeshimaKeitaro SofueTakamichi Murakami
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ジャーナル オープンアクセス 早期公開

論文ID: 2024-0018

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Acute mesenteric arterial occlusion, resulting from impaired blood flow in the superior mesenteric artery, is classified into embolism and thrombosis; both conditions lead to rapid intestinal ischemia, with a high mortality rate of >30% within 30 days. A multidisciplinary treatment approach, including prompt revascularization, necrotic intestinal tract resection, intensive postoperative care, and recurrence prevention, is crucial for managing acute mesenteric arterial occlusion. Recent meta-analyses have indicated that endovascular treatments result in lower bowel resection and mortality rates than open revascularization. As a minimally invasive treatment option, endovascular therapy can become prevalent in the aging population. Interventional radiologists who provide diagnostic imaging and endovascular procedures must understand the disease and play a central role in the treatment team.

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