Protocolo diagnóstico y terapéutico de las lesiones de las arterias mesentéricas
- 1 Servicio de Angiología y Cirugía Vascular, Hospital Universitario de Salamanca, Salamanca, España Departamento de Cirugía, Universidad de Salamanca, Salamanca, España
ISSN: 0304-5412
Any de publicació: 2021
Títol de l'exemplar: Enfermedades cardiovasculares (V)
Sèrie: 13
Número: 39
Pàgines: 2280-2285
Tipus: Article
Altres publicacions en: Medicine: Programa de Formación Médica Continuada Acreditado
Resum
Mesenteric ischaemia is due to reduced blood flow at the level of the intestine. It is life-threatening if prolonged over time. The clinical manifestations of this entity are non-specific and not usually visible until advanced stages of intestinal necrosis. Therefore, remembering the risk factors and maintaining a high rate of suspicion is essential for its prognosis. Imaging techniques such as CT angiography and angiography (which in some cases will allow therapeutic interventions) are required for diagnosis. Early revascularisation is essential. Endovascular treatment is constantly evolving, increasingly safe and has more indications, yet open surgery is essential to manage mesenteric ischaemia. It is recommended, therefore, that patients with mesenteric ischaemia be assessed and treated in specialist centres that can offer multidisciplinary assessment, and open and endovascular treatment.
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