A novel hybrid technique to treat flush mesenteric arterial occlusion in acute-on-chronic mesenteric ischemia

Abstract

Acute mesenteric occlusion is a life-threatening condition with a significant mortality rate and requires prompt diagnosis and revascularization using open repair, a hybrid procedure, or endovascular intervention. The open approach is associated with significant morbidity and mortality, while endovascular procedures are done by the antegrade or retrograde open mesenteric stent technique and have been observed to improve the prognosis and outcomes of mesenteric ischemia. We report three cases of acute-on-chronic mesenteric ischemia secondary to occlusion with failed percutaneous mesenteric artery stenting. They were successfully treated using a novel hybrid technique, without the need for mesenteric arteriotomy or subsequent arterial repair.

Keywords

• bowel gangrene management; endovascular procedures; mesenteric ischemia; mesenteric revascularization; retrograde open mesenteric stenting