Acute mesenteric ischemia means bowel attack due to reduction or cessation of arterial inflow small intestinal, most commonly to the superior mesenteric artery (SMA).
Acute Ischemia due to acute mesenteric arterial occlusion caused by emboli. Chronic ischemia is usually due to atherosclerotic narrowing/occlusion of artery.
Patients may present with severe abdominal pain despite mild physical signs.
Endovascular therapy, including aspiration thrombectomy and local thrombolytic therapy, angioplasty and stent placement effective treatment option for mesenteric ischemia.
The key to endovascular treatment is to establish blood flow quickly before irreversible intestinal necrosis occurs.
