Comparison of Endovascular Therapy and Open Surgical Revascularization in Patients With Acute Superior Mesenteric Artery Occlusion: A Large-Scale Analysis Based on the JROAD-DPC Database

• Published in: Journal of the American Heart Association Vol. 13; no. 12; p. e035017
• Main Authors: Goto, Daiki, Yanishi, Kenji, Ozawa, Takaaki, Yoshimura, Jun, Kawamata, Hirofumi, Fujioka, Ayumu, Seki, Tomotsugu, Zen, Kan, Matoba, Satoaki
• Format: Journal Article
• Language: English
• Published: England John Wiley and Sons Inc 18.06.2024; Wiley
• Subjects: Acute Disease; acute superior mesenteric artery occlusion; Aged; Aged, 80 and over; bowel resection; Databases, Factual; Endovascular Procedures - adverse effects; Endovascular Procedures - methods; endovascular therapy; Female; Hospital Mortality; Humans; in‐hospital mortality; Japan - epidemiology; Male; Mesenteric Artery, Superior - surgery; Mesenteric Vascular Occlusion - complications; Mesenteric Vascular Occlusion - mortality; Mesenteric Vascular Occlusion - surgery; Middle Aged; open surgical revascularization; Original Research; Registries; Retrospective Studies; Risk Factors; Treatment Outcome; Vascular Surgical Procedures - adverse effects; Vascular Surgical Procedures - methods; Japan; in‐hospital mortality; open surgical revascularization; bowel resection; endovascular therapy; acute superior mesenteric artery occlusion

Acute mesenteric ischemia is rare, and few large-scale trials have evaluated endovascular therapy (EVT) and open surgical revascularization (OS). This study aimed to assess clinical outcomes after EVT or OS for acute superior mesenteric artery occlusion and identify predictors of mortality and bowel...