Mesenteric ischemia secondary prevention
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Overview
Secondary Prevention
The secondary prevention of mesenteric ischemia is similar to its primary prevention.
Effective measures for the secondary prevention of mesenteric ischemia includes the following:
- In patients with history of mesenteric ischemia, duplex ultrasonography is recommended after every 6 months for one year, and yearly thereafter.
- All patients at risk of developing mesenteric ischemia, should be educated about the signs and symptoms of the disease.
- Patients who undergo endovascular repair for mesenteric ischemia should be recommended the following therapy:
- Lifelong aspirin therapy
- Clopidogrel for 1-3 months after the procedure
- Lifelong oral anticoagulants in case of persistent atrial fibrillation, mesenetric venous thrombosis and inherited or acquired thrombophilias.