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  • Title: Retrograde open mesenteric stenting for acute mesenteric ischemia is a viable alternative for emergent revascularization.
    Author: Stout CL, Messerschmidt CA, Leake AE, Veale WN, Stokes GK, Panneton JM.
    Journal: Vasc Endovascular Surg; 2010 Jul; 44(5):368-71. PubMed ID: 20484073.
    Abstract:
    OBJECTIVES: Significant comorbidities and an exhausted physiologic reserve lead to high mortality rates during operations for acute mesenteric ischemia. We present our experience with retrograde open mesenteric stenting. METHODS/RESULTS: A total of 3 female patients (mean age = 74.1 years) with acute mesenteric ischemia underwent exploratory laparotomy. Operative technique included isolating the superior mesenteric artery for cannulation and retrograde endovascular angioplasty and stenting. One required small bowel resection. All 3 patients survived. Mean follow-up was 8.4 months (range: 1.2-16.6). All remain with a 100% primary patency rate. CONCLUSION: Retrograde open mesenteric stenting for acute mesenteric ischemia is a viable alternative to bypass.
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