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Titel: Acute and chronic mesenteric ischemia: single center analysis of open, endovascular, and hybrid surgery
Autor(en): Rebelo, Artur
Mammadov, Marat
Partsakhashvili, Jumber
Sekulla, Carsten
Ronellenfitsch, Ulrich
Kleeff, Jörg
John, Endres
Ukkat, Jörg
Erscheinungsdatum: 2022
Art: Artikel
Sprache: Englisch
Zusammenfassung: Background: The aim of the study was to analyse the outcome of open surgical, endovascular, and hybrid interventions in the treatment of acute (AMI) and chronic (CMI) mesenteric ischemia. Methods: Retrospective review of a cohort of mesenteric ischemia patients at a single tertiary referral center from 2015 to 2021. Primary end point was postoperative in-hospital mortality. Secondary end points were the number of bowel resections, duration of the procedure, length of postoperative intensive care treatment, length of hospital stay, revision surgery (number and type), and the nature and severity of postoperative complications according to Dindo-Clavien. Results: A total of 64 patients, 20 with CMI and 44 with AMI, underwent open, hybrid or endovascular surgery. Bowel resection was performed in 45.5% of the patients with AMI (29.5% small intestine, 2.3% colon and 13.6% both). There was no in-hospital mortality in the CMI cohort as compared to 29.5% in the AMI cohort (p = 0.03), with no differences regarding endovascular and open surgery (29.6 vs 29.4%). Severe postoperative morbidity (Dindo-Clavien ≥ 3) was also significantly more frequent in the AMI group when compared to the CMI group (20 vs 77.3%, p < 0.001). ASA classification and intensive care stay were identified as factors associated with mortality in AMI patients. Conclusions: Morbidity and in-hospital mortality are low in CMI patients, but substantial in AMI patients. Early diagnosis and open or endovascular treatment may be decisive for the outcome of these patients.
URI: https://opendata.uni-halle.de//handle/1981185920/87684
http://dx.doi.org/10.25673/85732
Open-Access: Open-Access-Publikation
Nutzungslizenz: (CC BY 4.0) Creative Commons Namensnennung 4.0 International(CC BY 4.0) Creative Commons Namensnennung 4.0 International
Sponsor/Geldgeber: Publikationsfonds MLU
Journal Titel: BMC surgery
Verlag: BioMed Central
Verlagsort: London
Band: 22
Originalveröffentlichung: 10.1186/s12893-022-01511-4
Enthalten in den Sammlungen:Open Access Publikationen der MLU

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