Mesenteric ischemia medical therapy

Mesenteric ischemia Microchapters
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Overview

Acute mesenteric artery ischemia is an emergency.Thrombolytics may be required to dissolve the clot, and vasodilators may be needed to widen the mesenteric arteries (vasodilators). Further treatment with surgery may still be required.

Management of Patients With Peripheral Artery Disease (Compilation of 2005 and 2011 ACCF/AHA Guideline Recommendations) : A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines

Class I

"1. Treatment of the underlying shock state is the most important initial step in treatment of nonocclusive intestinal ischemia. (Level of Evidence: C)"

"2. Laparotomy and resection of nonviable bowel is indicated in patients with nonocclusive intestinal ischemia who have persistent symptoms despite treatment. (Level of Evidence: B) "

Class IIa

"1. Transcatheter administration of vasodilator medications into the area of vasospasm is indicated in patients with nonocclusive intestinal ischemia who do not respond to systemic supportive treatment and in patients with intestinal ischemia due to cocaine or ergot poisoning. (Level of Evidence: B)"