Abstract:

The world data devoted to endovascular treatment of acute thrombotic or thromboembolic occlusion of the superior mesenteric artery are provided in article. Various methods of intra vascular interventions are described at acute mesenteric ischemia: mechanical and rheolytic thrombectomy, retrograde stenting, thrombolytic therapy and some others. Endovascular intervention, according to different authors, may consider as choice option in treatment of patients in a stage of intestine ischemia.

References

1.     Cho J.S., Carr J.A., Jacobsen G. et al. Long-term outcome after mesenteric artery reconstruction: a 37-year experience. J. Vasc. Surg. 2002; 35(3):453-460.

2.     Kougias P., Lau D., El Sayed H.F. et al. Determinants of mortality and treatment outcome following surgical interventions for acute mesenteric ischemia. J. Vasc. Surg. 2007;46(3): 467-474.

3.     Park W.M., Gloviczki P., Cherry K.J. et al. Contemporary management of acute mesenteric ischemia: factors associated with survival. J. Vasc. Surg. 2002; 35(3): 445-452.

4.     Sreedharan S., Tan YM., Tan S.G. et al. Clinical spectrum and surgical management of acute mesenteric ischaemia in Singapore. Singapore Med. J. 2007; 48(4): 319-323.

5.     Lepedat P. Infarkt kishechnika[Mesenteric necrosis]. Medicinskoe izdatel'stvo, Buharest. 1975; 282 s [In Russ].

6.     Савельев В.С., Петухов В.А., Сон Д.А. и соавт. Новый метод энтеросорбции при синдроме кишечной недостаточности. Анналы хирургии. 2005; 1; 29-32. Savel'ev V.S., Petuhov V.A., Son D.A. i soavt. Novyj metod jenterosorbcii pri sindrome kishechnoj nedostatochnosti [New method of enterosorbtion in acute mesenterial insufficiency]. Annaly hirurgii. 2005; 1; 29-32 [In Russ].

7.     Szabуnй Rйvйsz E. Acute mesenteric ischemia: analysis of cases admitted to a hospital during 10 years (2001-2010). Orv. Hetil. 2012;153(36):1424-1432.

8.     Corcos O., Castier Y, Sibert A. et al. Effects of a Multimodal Management Strategy for Acute Mesenteric Ischemia on Survival and Intestinal Failure. Clin. Gastroenterol. Hepatol. 2012;11(2):158-165.

9.     Markovich O.V., Shkodivskij N.I. Morfofunkcional'nye izmenenija v stenke tonkoj kishki pri vremennom narushenii arterial'nogo krovoobrashhenija[Morphologic-functional changes in intestinal wall at temporary disorders of mesenterial blood circulation. Anatomija ta operativna hirurgija. 2005;4(1):12-15[In Russ].

10.   Pokrovskij A.V., Judin V.I. Ostraja mezenterial'naja neprohodimost'. Klinicheskaja angiologija: rukovodstvo pod red. Pokrovskogo A.V. [Acute mesenterial obstruction.] V 2-h tomah. Tom 2. M.: Izdatel'stvo «Medicina». 2004; 626-645[In Russ].

11.   Marston A. Sosudistye zabolevanija kishechnika. Patofiziologija, diagnostika i lechenie [Vascular diseases of bowel. Pathophysiology, diagnostics and treatment.]. M.: «Medicina».1989; 304 s [In Russ].

12.   Gol'dgammer K.K. Ostryj zhivot pri trombozah i jembolijah verhnih bryzheechnyh sosudov[«Acute abdomen» in thrombosis and embolism in superior mesenteric vessels]. M.: Medicina. 1966;184 s[In Russ].

13.   Давыдов Ю.А. Инфаркт кишечника и хроническая мезентериальная ишемия. М.: Медицина. 1997; 208 с. Davydov Ju.A. Infarkt kishechnika i hronicheskaja mezenterial'naja ishemija []. M.: Medicina. 1997; 208 s[In Russ].

14.   Savel'ev V.S., Spiridonov I.V. Ostrye narushenija mezenterial'nogo krovoobrashhenija[...]. M.: Medicina. 1979; 232 s[In Russ].

15.   Pokrovskij A.V., Belojarcev D.F. Istorija hirurgii torakoabdominal'nogo otdela aorty i ego vetvej v Rossii [History of surgery of thoracic and abdominal aorta and its brunches]. Materialy 13 vserossijskogo s'ezda serdechno-sosudistyh hirurgov, Moskva. 25-28 nojabrja 2007; 368-369[In Russ].

16.   Shipovskij V.N., Ciciashvili M.Sh., Huan  Ch. I soavt. Reoliticheskaja trombjektomija i stentirovanie verhnej bryzheechnoj arterii pri ostrom mezenterial'nom tromboze (klinicheskoe nabljudenie) [Rheolytic thrombectomy and stenting of superior mesenteric artery in acute mesenterial thrombosis (case report)]. 

Abstract:

Article presents data of modern literature concerning diagnostic efficiency of computed tomography and CT-angiography in diagnostics of acute disorders of mesenterial blood circulation. Article describes various groups of instrumental diagnostic signs indicating directly or indirectly on acute thrombotic and thromboembolic occlusion of mesenterial.

According to huge ammount of authors, CT-angiography can be considered as the first step in instrumental diagnostics of acute disorder of mesenterial blood circulation, due to demonstrated sensitivity and specificity, comparable in comparison with a standard angiography. 

References

1.     Pokrovskij A.V., Judin V.I. Ostraja mezenterial'naja neprohodimost'. Klinicheskaja angiologija: rukovodstvo pod redakciej Pokrovskogo A.V[Acute mesenterial obstruction. Clinical angiology: Manual, edited Pokrovskij A.V.]. V 2-h t. M.: Medicina. 2004; 2: 626-645 [In Russ].

2.     Burns B.J., Brandt L.J. Intestinal ischemia. Gastroenterol. Clin, North Am. 2003; 32 (4): 1127-1143.

3.     Cho J.S., Carr J.A., Jacobsen G. et al. Long-term outcome after mesenteric artery reconstruction: a 37-year experience. J. Vasc, Surg, 2002; 35 (3): 453-460.

4.     Oldenburg W.A., Lau L.L., Rodenberg T.J. et al. Acute mesenteric ischemia: a clinical review. Arch, Intern, Med, 2004; 164 (10): 1054-1062.

5.     Wang J.Y., Cheng K.I., Yu F.J. et al. Analysis of the correlation of plasma NO and ET-1 levels in rats with acute mesenteric ischemia. J. Invest. Surg. 2006; 19 (3): 155-161.

6.     Mamode  N., Pickford I., Leiberman P. Failure to improve outcome in acute mesenteric ischaemia: seven-year review. Eur. J. Surg. 1999; 165 (3): 203-208.

7.     Corcos O., Castier Y., Sibert A. et al. Effects of a Multimodal Management Strategy for Acute Mesenteric Ischemia on Survival and Intestinal Failure. Clin, Gastroenterol. Hepatol. 2012; 11 (2): 158-165.

8.     Ryer E.J., Kalra M., Oderich G.S. et al. Revascularization for acute mesenteric ischemia. J. Vasc. Surg. 2012; 55 (6): 1682-1689.

9.     Ozturk G., Aydinli B, Atamanalp S.S. et al. Acute mesenteric ischemia in young adults. Wien. Med. Wochenschr. 2012; 162 (15): 349-353.

10.   Schoots I.G., Koffeman G.I., Legemate D.A. et al. Systematic review of survival after acute mesenteric ischaemia according to disease aetiology. Br. J. Surg. 2004; 91 (1): 17-27.

11.   Zelenkov N.P., Mel'janov A.V., Esikov Ju.V. i soavt. Uspeshnoe hirurgicheskoe lechenie ostrogo narushenija mezenterial'nogo krovoobrashhenija [Successful surgical treatment of acute mesenterual blood circulation]. Materialy Mezhdunarodnogo hirurgicheskogo kongressa «Novye tehnologii v medicine». Rostov-na-Donu. 2005; 379 [In Russ].

12.   Savel'ev V.S., Petuhov V.A., Son D.A. i soavt. Novyj metod jenterosorbcii pri sindrome kishechnoj nedostatochnosti. [New method of internal absorbtion in patients with intestinal insufficiency] Annalyhirurgii. 2005; 1: 29-32 [In Russ].

13.   Murray S.P., Ramos T.K., Stoney R.J. Surgery of coliac and mesenteric arteries. In.: Enrico Ascher ed. Hamovici's Vascular Surgery, 5th edition. Blackwell Publishing. 2004; 72: 861-874.

14.   O'Mahony G.D., Gallucci M.R., Cordova-Fraga T. et al. Biomagnetic investigation of injury currents in rabbit intestinal smooth muscle during mesenteric ischemia and reperfusion. Dig. Dis. Sci. 2007; 52 (1): 292-301.

15.   Pompermayer K., Amaral F.A., Fagundes C.T. et al. Effects of the with glibenclamide, an ATP-sensetive potassium channel blocker, on intestinal ischemia and reperfusion injury. Eur. J. Pharmacol. 2007; 556 (1): P. 215-22.

16.   Kassahun W.T., Schulz T., Richter O. et al. Unchanged high mortality rates from acute occlusive intestinal ischemia: six year review. Langenbecks Arch. Surg. 2008; 393 (2): 163-171.

17.   American Gastrointestinal Association Medical Position Statement: guidelines on intestinal ischemia. Gastroenterology, 2000; 118: 951-953.

18.   Duber C., Wustner M., Diehl S.J. et al. Emergency diagnostic imaging in mesenteric ischemia. Chirurg. 2003; 74 (5): 399-406.

19.   Lock G. Acute mesenteric ischemia: classification, evaluation and therapy. Acta Gastroenterol, Belg, 2002; 65 (4): 220 - 225.

20.   Park W.M., Gloviczki P., Cherry K.J. et al. Contemporary management of acute mesenteric ischemia: factors associated with survival. J. Vasc, Surg, 2002; 35 (3): 445-452.

21.   Van Beers B.E., Danse E.M. Vascular lesions of the liver and gastrointestinal tract. Acta Gastroenterol. Belg. 2002; 65 (4): 226-229.

22.   Kortmann B., Klar E. Recognizing acute mesenteric ischaemia too late: reasons and diagnostic approach from a surgical point of view. Zentralbl. Chir. 2005; 130 (3): 223 - 226.

23.   Staib L. Intestinal ischemia - surgeon's view. Schweiz. Rundsch. Med. Prax. 2006; 95 (44): 1717-1721.

24.   Ataev S.D., Abdullaev M.R., Ataev D.S. Ostrye narushenija mezeneterial'nogo krovoobrashhenija [Acute mesenterial blood circulation disorders]. Materialy Mezhdunarodnogo hirurgicheskogo kongressa «Novye tehnologii v medicine». Rostov-na-Donu. 2005: 378 [In Russ].

25.   Savel'ev V.S., Spiridonov I.V., Boldin B.V. Ostrye narushenija mezenterial'nogo krovoobrashhenija. Infarkt kishechnika [Acute mesenterial blood circulation disorders. Intestinal infarction.]. Rukovodstvo po neotlozhnoj hirurgii pod redakciej Savel'eva V.S. M.: Triada H. 2005; 281-302 [In Russ].

26.   Alhan E., Usta A., Cekic A. et al. A study on 107 patients with acute mesenteric ischemia over 30 years. Int. J. Surg. 2012; 10 (9): 510-513.

27.   Hellinger J.C. Evaluating mesenteric ischemia with multidetector-row CT angiography. Tech. Vasc. Intev Radiol, 2004; 7(3): 160-166.

28.   Horton K.M., Fishman E.K. Multidetector CT angiography in the diagnosis of mesenteric ischemia. Radiol, Clin, North. Am. 2007; 45: 275-288.

29.   Shih M.C., Angle J.F., Leung D.A. et al. CTA and MRA in mesenteric ischemia: part 2, Normal findings and complications after surgical and endovascular treatment. Am. J. Roentgenol. 2007; 188 (2): 462-471.

30.   Smerud M.J., Johnson C.D., Stephens D.H. Diagnosis of bowel infarction: a comparison of plain films and CT scans in 23 cases. Am. J. Roentgenol. 1990; 154: 99-103.

31.   Turkbey B., Akpinar E., Cil B. et al. Utility of multidetector CT in an emergency setting in acute mesenteric ischemia. Diagn. Interv. Radiol. 2009; 15 (4): 256-261.

32.   Menke J. Diagnostic accuracy of multidetector CT in acute mesenteric ischemia: systematic review and meta-analysis. Radiology. 2010; 256 (1): 93-101.

33.   Zalcman M., Sy M., Donkier V. et al. Helical CT sings in the diagnosis of intestinal ischemia in small-bowel obstruction. Am. J. Roentgenol. 2000; 175: 1601-1607.

34.   Zandrino F., Musante F., Gallesio I. et al. Assessment of patients with acute mesenteric ischemia: multislise computed tomography sings and clinical performance in a group of patients with surgical correlation. Minerva Gastroenterol. Dietol. 2006; 52 (3): 317-325.

35.   Arroja B., Canhoto C., Silva F. et al. Acute mesenteric ischemia. Rev. Esp. Enfem. Dig. 2010; 5: 327-328.

36.   Ha H.K., LeeS.H., Rha S.E. et al. Radiologic features of vasculitis involving the gastrointestinal tract. Radiographics. 2000; 20: 779-794.

37.   Rosow D.E., Sahani D., Strobel O. et al. Imaging of acute mesenteric ischemia using multidetector CT and CT angiography in a porcine model. J. Gastrointest. Surg. 2005; 9 (9): 1262 - 1274.

38.   Johnson J.O. Diagnosis of acute gastrointestinal hemorrhage and acute mesenteric ischemia in the era of multi-detector row CT. Radiol, Clin, North Am. 2012; 50 (1): 173-182.

39.   Yikilmaz A., Karahan O.I., Senol S. et al.. Value of multislice computed tomography in the diagnosis of acute mesenteric ischemia. Eur. J. Radiol. 2011; 80 (2): 297-302.