Difficult Decisions in Vascular Surgery by Christopher L. Skelly & Ross Milner
Author:Christopher L. Skelly & Ross Milner
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham
P (patients)
I (intervention)
C (comparator group)
O (outcomes measured)
Patients with chronic mesenteric ischemia
Single-vessel repair
Multi-vessel repair
Freedom from symptoms; long-term freedom from restenosis; long-term freedom from recurrence of symptoms
Results
Open Revascularization
Multivessel revascularization is generally recommended for patients who are undergoing open surgical revascularization for symptomatic chronic mesenteric ischemia (Table 21.2). This can be accomplished via antegrade bypass originating from the supraceliac aorta to the celiac and superior mesenteric arteries, retrograde bypass to multiple mesenteric vessels originating from the infrarenal aorta or iliac artery, or transaortic endarterectomy.Table 21.2Summary of open surgical interventions for chronic mesenteric ischemia
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