AnatomyOrganismsDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesInformation ScienceHealth Care
EmbolismIntracranial Embolism and ThrombosisMesenteric ArteriesMesenteric Artery, SuperiorMyocardial RevascularizationMesenteric Artery, InferiorArteriesMesenteric Vascular OcclusionCoronary Artery BypassTreatment OutcomeStentsCeliac ArteryAngioplasty, Balloon, CoronaryCerebral RevascularizationFemoral ArteryRenal ArterySuperior Mesenteric Artery SyndromeArterial Occlusive DiseasesCoronary AngiographyMyocardial InfarctionTime FactorsCerebral ArteriesPulmonary ArteryFollow-Up StudiesIschemiaCoronary DiseaseCarotid ArteriesCoronary OcclusionVascular Surgical ProceduresVasodilationIliac ArteryMuscle, Smooth, VascularCoronary Artery DiseaseSplanchnic CirculationVascular PatencyAngiographyVasoconstrictionBasilar ArteryDrug-Eluting StentsCoronary VesselsAngioplasty, BalloonRenal Artery ObstructionRetrospective StudiesCoronary StenosisCarotid Artery, InternalVasodilator AgentsRetinal Artery OcclusionMammary ArteriesCoronary RestenosisProspective StudiesAngioplastyRadial ArteryMesenteric VeinsSubclavian ArteryPostoperative ComplicationsBiological FactorsVasoconstrictor AgentsHepatic ArterySplenic ArteryTomography, X-Ray ComputedEndothelium, VascularCarotid Artery DiseasesVertebral ArteryConstriction, PathologicMyocardial IschemiaBalloon OcclusionGraft Occlusion, VascularRisk FactorsPopliteal ArteryBlood Vessel Prosthesis ImplantationRetinal Vein OcclusionSaphenous VeinRats, WistarRegional Blood FlowAngina PectorisBlood PressureNorepinephrineRisk AssessmentInfarction, Middle Cerebral ArteryCardiovascular AgentsRecurrenceRats, Sprague-DawleyPredictive Value of TestsPercutaneous Coronary InterventionPlatelet Aggregation InhibitorsPhenylephrineDogsPeripheral Vascular DiseasesKaplan-Meier EstimateAcetylcholineCoronary Artery Bypass, Off-PumpMyographyCerebral AngiographyLower ExtremityThoracic ArteriesReoperationBrain IschemiaCarotid StenosisCoronary CirculationThrombosis
IschemiaIliac arteriesLeft gastriCoronary AngiographyOcclusiveEmbolizationCeliac trunkStenosisAortaPosteriorArterialVeinEndovascularChronicDiseaseTreatmentAnteriorProceduresCommonPatientsBloodInferior mesentMorbidity and mortaChronic mesenteric ischaemiaRight coronaIschaemiaEndovascular therapyCoronaryAneurysmVesselsSplenicAorticProximalAbdominal painAtherosclerosisGives off the inferiorHepaticBypassOutcomesMarginalBowelSurgicalVesselPosterior aspectAngiographyInsufficient bloodPathologyDistalBranchesPostoperativeUncommonApproachesColon
Ischemia10
  • It can come on suddenly, known as acute intestinal ischemia, or gradually, known as chronic intestinal ischemia. (wikipedia.org)
  • Risk factors for acute intestinal ischemia include atrial fibrillation, heart failure, chronic kidney failure, being prone to forming blood clots, and previous myocardial infarction. (wikipedia.org)
  • Treatment of acute ischemia may include stenting or medications to break down the clot provided at the site of obstruction by interventional radiology. (wikipedia.org)
  • Acute intestinal ischemia affects about five per hundred thousand people per year in the developed world. (wikipedia.org)
  • Symptoms of intestinal ischemia vary and can be acute (especially if embolic), subacute, or chronic. (wikipedia.org)
  • In a series of 58 patients with intestinal ischemia due to mixed causes: White blood cell count >10.5 in 98% (probably an overestimate as only tested in 81% of patients) Lactic acid elevated 91% (probably an overestimate as only tested in 57% of patients) In very early or very extensive acute intestinal ischemia, elevated lactate and white blood cell count may not yet be present. (wikipedia.org)
  • Chronic mesenteric ischemia (CMI) usually results from long-standing atherosclerotic disease of two or more mesenteric vessels. (medscape.com)
  • In 1958, Shaw and Maynard described the first thromboendarterectomy of the superior mesenteric artery (SMA) for the treatment of both acute mesenteric ischemia (AMI) and CMI. (medscape.com)
  • Mastery of the anatomy of the mesenteric vessels is essential to management of chronic mesenteric ischemia (CMI), although the wide array of vascular variations can make such mastery difficult to achieve. (medscape.com)
  • This communication is an important connection that helps maintain bowel perfusion in the setting of mesenteric ischemia. (medscape.com)
Iliac arteries1
Left gastri1
  • The left gastric artery communicates with the right gastric artery along the posterior aspect of the lesser curvature of the stomach. (medscape.com)
Coronary Angiography1
Occlusive2
Embolization1
  • Regarding intestinal arterial thrombosis or embolism: "Any patient with an arrhythmia such as atrial fibrillation who complains of abdominal pain is highly suspected of having embolization to the superior mesenteric artery until proved otherwise. (wikipedia.org)
Celiac trunk1
  • We report three successive cases of visceral artery dissection: one patient with celiac trunk dissection and two with dissection of the superior mesenteric artery. (bvsalud.org)
Stenosis1
  • Chohan A, Abraham CJ, Ward K, Ponniah K, Salkini A , Burkhart HM , Mir A . Isolated ostial left main coronary artery stenosis causing ischemic cardiomyopathy in a child with bicuspid aortic valve: Role of echocardiography in diagnosis and follow-up. (ouhsc.edu)
Aorta2
  • The SMA comes off of the ventral aorta and gives off the inferior pancreaticoduodenal artery and the ileocolic, middle colic, right colic, jejunal, and ileal branches. (medscape.com)
  • The IMA is the smallest mesenteric vessel and comes off the anterior aorta. (medscape.com)
Posterior1
  • More complex fistulas can have both anterior spinal and posterior spinal artery supply, such as this diagram below. (neuroangio.org)
Arterial2
  • The intradural fistulas range from single artery-to-vein connection to increasing arterial feeder complexity. (neuroangio.org)
  • The difference is that a radiculopial artery was also recruited into supplying the arterial side of the fistula. (neuroangio.org)
Vein2
  • There are four mechanisms by which poor blood flow occurs: a blood clot from elsewhere getting lodged in an artery, a new blood clot forming in an artery, a blood clot forming in the superior mesenteric vein, and insufficient blood flow due to low blood pressure or spasms of arteries. (wikipedia.org)
  • When a fistula develops between any artery supplying the spinal cord and a spinal cord vein, it is called an intradural (pial) fistula. (neuroangio.org)
Endovascular1
Chronic1
Disease1
  • The acute form of the disease often presents with sudden severe abdominal pain and is associated with a high risk of death. (wikipedia.org)
Treatment1
Anterior1
  • A diagram of a simple spinal fistula between the anterior spinal artery and adjacent surface spinal veins is shown below. (neuroangio.org)
Procedures2
  • Radial artery spasm associated with transradial cardiovascular procedures: Results from the RAS registry. (trico.guru)
  • Reduces need for coronary and non-coronary revascularization procedures. (abcmedicalnotes.com)
Common2
  • It courses anteroinferiorly before branching into the common hepatic, splenic, and left gastric arteries. (medscape.com)
  • Again, what all of these fistulas have in common is 1) supply by artery or arteries of the spinal cord and 2) lack of nidus. (neuroangio.org)
Patients1
Blood1
  • The right and middle colic arteries are important suppliers of blood to the marginal artery of Drummond and give rise to the terminal vasa recta, which provide blood to the colon. (medscape.com)
Inferior mesent6
  • Abdominal CT scan showed an aneurysm of the inferior mesenteric artery with retroperitoneal hematoma. (biomedcentral.com)
  • Upon emergency laparotomy a ruptured inferior mesenteric artery aneurysm was detected. (biomedcentral.com)
  • This report discusses the etiology, presentation, diagnosis and case management of inferior mesenteric artery aneurysms. (biomedcentral.com)
  • CT reconstruction showing the inferior mesenteric artery aneurysm (white arrow), the artery tortuousness and a strongly developed marginal artery (grey arrow). (biomedcentral.com)
  • Although inferior mesenteric artery occlusion due to acute aortic dissection sometimes occurs, it is usually not considered an important finding. (bvsalud.org)
  • Herein, we present an extremely rare case of delayed bowel ischaemia due to inferior mesenteric artery occlusion in Stanford type A acute aortic dissection that highlights the need for cardiac surgeons to be mindful of inferior mesenteric artery occlusion in patients with superior mesenteric artery dissection or vascular anomalies in the mesenteric arteries. (bvsalud.org)
Morbidity and morta2
  • Acute mesenteric ischaemia carries a high risk of morbidity and mortality, but the prognosis for patients depends on a prompt and early diagnosis. (pulsetoday.co.uk)
  • Popliteal artery occlusion and the disease processes leading up to it cause morbidity and mortality by decreasing or completely blocking blood supply through the popliteal artery and into the lower leg and foot. (medscape.com)
Chronic mesenteric ischaemia2
  • Noninvasive evaluation of the celiac trunk and superior mesenteric artery with multislice CT in patients with chronic mesenteric ischaemia. (medscape.com)
  • The incidence of acute mesenteric ischaemic is five in 100,000 and chronic mesenteric ischaemia is one in 100,000 per year. (pulsetoday.co.uk)
Right corona1
  • We present a case of a 76 year-old female patient with a history of type 2 diabetes, obesity, hypertension, smoking, prior right coronary artery angioplasty followed by stent implantation, prior bilateral carotid endarterectomy and prior chronic occlusion of the left subclavia artery. (heraldopenaccess.us)
Ischaemia8
  • Her GP suspects a diagnosis of mesenteric ischaemia and urgently refers her to the emergency department. (pulsetoday.co.uk)
  • Mesenteric ischaemia is injury to the small bowel or colon as a result of an insufficient blood supply. (pulsetoday.co.uk)
  • Acute mesenteric ischaemia is more common in the over-70s. (pulsetoday.co.uk)
  • The classical presentation of acute mesenteric ischaemia is acute, severe abdominal pain out of proportion to the physical examination findings. (pulsetoday.co.uk)
  • A high index of suspicion in patients presenting as above is essential for the early diagnosis and treatment of acute mesenteric ischaemia. (pulsetoday.co.uk)
  • A study of acute mesenteric ischaemia showed that 95% of patients presented with abdominal pain, 44% with nausea, 35% with vomiting , 35% with diarrhoea and 16% with rectal bleeding. (pulsetoday.co.uk)
  • This is usually normal when performed early after the onset of symptoms in acute mesenteric ischaemia, but should not provide false reassurance. (pulsetoday.co.uk)
  • A patient with acute occlusion of the superior mesenteric vessels resulting in superior mesenteric vessel ischaemia (SMVI) who presents to the ED with abdominal pain and unremarkable abdominal examination risks delay in diagnosis and treatment with adverse outcome. (bvsalud.org)
Endovascular therapy2
  • A retrospective (2007-2014) analysis of National Inpatient Sample Database data from 4,150 patients with CMI who underwent endovascular or surgical (mesenteric bypass or endarterectomy) revascularization revealed endovascular therapy remained the primary revascularization modality. (medscape.com)
  • The case presented in this manuscriptshows the feasibility of the endovascular therapy to treat acute mesenteric artery occlusion in this dramatic situation. (heraldopenaccess.us)
Coronary4
Aneurysm2
  • The aneurysm was excised and the artery reconstructed by end-to-end anastomosis. (biomedcentral.com)
  • Abdominal CT imaging showed a huge retroperitoneal hematoma of 7 × 23 × 25 cm (Fig. 1 ) and an aneurysm of the IMA about 2 cm from its origin resulting in concurrent occlusion of superior mesenteric and celiac arteries (Fig. 2 ). (biomedcentral.com)
Vessels2
  • AMI requires immediate treatment with revascularization of the occluded vessels. (mdpi.com)
  • The popliteal artery is characterized by distinct embryologic and anatomic features as compared with the femoral vessels. (medscape.com)
Splenic3
  • It courses anteroinferiorly before branching into the common hepatic, splenic, and left gastric arteries. (medscape.com)
  • The right gastroepiploic artery communicates with the left gastroepiploic artery, which is an immediate branch of the splenic artery. (medscape.com)
  • The splenic artery gives off the left gastroepiploic artery and the dorsal pancreatic artery, which supplies the body and tail of the pancreas and communicates with the anterosuperior pancreaticoduodenal and gastroduodenal arteries and, sometimes, the middle colic artery or SMA. (medscape.com)
Aortic1
  • An Aortic and Mesenteric angiographywas indicated in order to confirm diagnosis and program appropriate treatment. (heraldopenaccess.us)
Proximal3
  • Acute occlusion of the proximal superior mesenteric artery is still a life-threatening disease. (springermedizin.at)
  • The technical and clinical outcome of first line endovascular treatment of proximal superior mesenteric artery occlusion in an academic teaching hospital was evaluated. (springermedizin.at)
  • Endovascular treatment of acute occlusion of the proximal superior mesenteric artery continues to be the promising first line treatment option with a high potential for primary technical success and clinical benefit. (springermedizin.at)
Abdominal pain2
  • The acute form of the disease often presents with sudden severe abdominal pain and is associated with a high risk of death. (wikipedia.org)
  • A 65-year-old man was admitted to hospital with acute abdominal pain and hypovolemic shock. (biomedcentral.com)
Atherosclerosis1
  • In addition to atherosclerosis , popliteal artery occlusive disease can be caused by emboli, popliteal entrapment syndrome, cystic adventitial disease, and trauma. (medscape.com)
Gives off the inferior2
  • The SMA comes off of the ventral aorta and gives off the inferior pancreaticoduodenal artery and the ileocolic, middle colic, right colic, jejunal, and ileal branches. (medscape.com)
  • Below the knee, it gives off the inferior lateral and the inferior medial genicular arteries. (medscape.com)
Hepatic1
  • The hepatic artery gives off the gastroduodenal artery, which branches further into the right gastroepiploic artery and the anterosuperior and posterosuperior pancreaticoduodenal arteries. (medscape.com)
Bypass1
  • Open single retrograde bypass from the left branch of the aorto-bifemoral graft to the superior mesenteric artery was implanted successfully. (bvsalud.org)
Outcomes1
  • This observational meta-analysis concluded that the endovascular revascularization may offer early better outcomes but poor long-term results. (medscape.com)
Marginal2
  • The right and middle colic arteries are important suppliers of blood to the marginal artery of Drummond and give rise to the terminal vasa recta, which provide blood to the colon. (medscape.com)
  • The marginal artery of Drummond was also greatly increased in size (Fig. 2 ) and supplied the entire gastrointestinal tract. (biomedcentral.com)
Bowel2
  • A key goal of the therapy in acute mesenteric artery occlusions is to rapidly reestablish blood flow into the vessel and to assess the viability of the ischemic bowel segment. (heraldopenaccess.us)
  • This can occur with an acute or chronic onset, which is dependent on the underlying cause for reduction in blood flow to the bowel. (pulsetoday.co.uk)
Surgical1
  • While surgical revascularization has been the standard treatment for symptomatic patients, recent advances in interventional devices and techniques have made endovascular treatment feasible and effective for this situation. (heraldopenaccess.us)
Vessel1
  • The IMA is the smallest mesenteric vessel and comes off the anterior aorta. (medscape.com)
Posterior aspect2
  • The left gastric artery communicates with the right gastric artery along the posterior aspect of the lesser curvature of the stomach. (medscape.com)
  • The popliteal artery sits on the posterior aspect of the leg, in the popliteal fossa. (medscape.com)
Angiography1
Insufficient blood1
  • There are four mechanisms by which poor blood flow occurs: a blood clot from elsewhere getting lodged in an artery, a new blood clot forming in an artery, a blood clot forming in the superior mesenteric vein, and insufficient blood flow due to low blood pressure or spasms of arteries. (wikipedia.org)
Pathology1
  • Ersoy H. The role of noninvasive vascular imaging in splanchnic and mesenteric pathology. (medscape.com)
Distal1
  • The anatomic proximity of the popliteal artery to the distal femur and gastrocnemius makes this artery susceptible to injury during femoral fracture or knee dislocation and entrapment syndrome, respectively. (medscape.com)
Branches5
  • The anterosuperior and posterosuperior pancreaticoduodenal arteries communicate with the corresponding inferior branches from the SMA. (medscape.com)
  • The inferior pancreaticoduodenal artery gives rise to the corresponding anteroinferior and posteroinferior branches, which anastomose with their superior counterparts (see above). (medscape.com)
  • The right colic artery typically branches at the same level as the middle colic artery. (medscape.com)
  • At the level of the knee, the popliteal artery gives off genicular and sural branches. (medscape.com)
  • These branches provide a rich network between the superficial femoral artery, the deep femoral (profunda femoris) artery, and the tibial arteries. (medscape.com)
Postoperative1
  • In recent meta-analysis of 100 observational studies revealed that open revascularization was associated with a significant increase in postoperative complications but nonsignificant increase in mortality rate at 30 days. (medscape.com)
Uncommon1
  • Visceral artery aneurysms (VAA), although uncommon, are increasingly being detected. (biomedcentral.com)
Approaches1
  • Zurück zum Zitat Acosta S, Sonesson B, Resch T. Endovascular therapeutic approaches for acute superipr mesenteric artery occlusion. (springermedizin.at)
Colon1
  • The ileocolic artery supplies the ileum, cecum, and ascending colon, whereas the middle colic artery supplies the transverse colon and communicates with the IMA. (medscape.com)