Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2004-8-12
pubmed:abstractText
This report examines results of mesenteric revascularization following a failed splanchnic revascularization. Patients undergoing repeat mesenteric revascularization from January 1985 to July 2002 were identified from a prospectively maintained registry. Data recorded included procedures performed, perioperative mortality, complications, and operative indications. Patients who had embolic events were excluded. Eighty-six patients underwent 105 mesenteric interventions in this time period; 22 patients underwent 33 repeat mesenteric revascularization procedures. There were 25 single-vessel bypasses, 3 multivessel reconstructions, 3 angioplasty procedures (1 open, 2 percutaneous), and 2 graft thrombectomies. Complications occurred in 33.3%. Perioperative mortality was 6.1%, all in patients with acute mesenteric ischemia. One- and 4-year primary patency for repeat mesenteric revascularization was 73.5% and 62.2%, respectively, and survival for repeat mesenteric revascularization was 85.9% and 75.5%, respectively. Patients surgically treated for mesenteric ischemia can require additional interventions. Repeat revascularization effectively prolongs survival when an earlier intervention fails.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1538-5744
pubmed:author
pubmed:issnType
Print
pubmed:volume
38
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
315-9
pubmed:meshHeading
pubmed-meshheading:15306948-Adult, pubmed-meshheading:15306948-Aged, pubmed-meshheading:15306948-Aged, 80 and over, pubmed-meshheading:15306948-Blood Vessel Prosthesis Implantation, pubmed-meshheading:15306948-Comorbidity, pubmed-meshheading:15306948-Endarterectomy, pubmed-meshheading:15306948-Female, pubmed-meshheading:15306948-Humans, pubmed-meshheading:15306948-Iliac Artery, pubmed-meshheading:15306948-Ischemia, pubmed-meshheading:15306948-Life Tables, pubmed-meshheading:15306948-Male, pubmed-meshheading:15306948-Mesenteric Artery, Superior, pubmed-meshheading:15306948-Middle Aged, pubmed-meshheading:15306948-Reoperation, pubmed-meshheading:15306948-Splanchnic Circulation, pubmed-meshheading:15306948-Treatment Failure, pubmed-meshheading:15306948-Vascular Patency, pubmed-meshheading:15306948-Vascular Surgical Procedures
pubmed:articleTitle
Outcomes after redo procedures for failed mesenteric revascularization.
pubmed:affiliation
Division of Vascular Surgery, Oregon Health and Sciences University, Portland, OR 97201, USA.
pubmed:publicationType
Journal Article