Difficult Decisions in Vascular Surgery by Christopher L. Skelly & Ross Milner

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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