Reperfusion injury on computed tomography following endovascular revascularization of acute mesenteric ischemia: prevalence, risk factors, and patient outcome
oleh: Lorenzo Garzelli, Alexandre Nuzzo, Annick Hamon, Iannis Ben Abdallah, Jules Gregory, Lucas Raynaud, Luisa Paulatto, Marco Dioguardi Burgio, Yves Castier, Yves Panis, Valérie Vilgrain, Olivier Corcos, Maxime Ronot
| Format: | Article |
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| Diterbitkan: | SpringerOpen 2022-12-01 |
Deskripsi
Key points Reperfusion injury of the bowel occurred in 44% of patients with acute mesenteric ischemia treated by endovascular revascularization. A decreased bowel enhancement on initial CT (HR = 8.2), an occlusion of the superior mesenteric artery (HR = 7.0), an embolic cause (HR = 7.4), and higher initial serum lactate level (HR = 1.4) were identified as predictors of reperfusion injury. Bowel wall hypoattenuation, hyperenhancement of the mucosa, and increase in CRP levels after revascularization were key diagnostic features of reperfusion injury.