Abstract

Aim: To evaluate thrombectomy outcomes in acute mesenteric ischemia (AMI) of arterial and venous origin.

Methods: Thirty-nine patients (59-89 years) underwent surgical or endovascular thrombectomy of the supe rior mesenteric artery (SMA) or vein (SMV), diagnosed by laparotomy or contrast-enhanced CT.

Results: Early SMA revascularization frequently enabled bowel preservation or limited resection with pri mary anastomosis and favorable recovery. Endovascular therapy was effective in selected cases. However, recurrent ischemia with high mortality occurred in advanced disease. SMV thrombectomy reduced resection length and supported safe anastomosis.

Conclusions: Prompt diagnosis and revascularization are critical for survival and bowel salvage in AMI.

DOI: doi.org/10.63721/26/JCVI0116

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