A Rare Case of Ischemia-Reperfusion Injury After Mesenteric Revascularization

Vasc Endovascular Surg. 2019 Jul;53(5):424-428. doi: 10.1177/1538574419839547. Epub 2019 Apr 14.

Abstract

Endovascular treatment of chronic mesenteric ischemia is currently the treatment of choice, regardless of the number of involved vessels. Unlike other anatomic areas, the hyperperfusion produced by revascularization and the consecutive reperfusion syndrome is only described in cases of acute bowel ischemia, which is usually resolved with traditional surgery. We present a case of severe hyperperfusion syndrome secondary to endovascular correction with stents of a critical ischemia affecting the celiac trunk and superior mesenteric artery.

Keywords: bowel ischemia; chronic mesenteric ischemia; ischemia-reperfusion; ischemic colitis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty, Balloon / adverse effects*
  • Angioplasty, Balloon / instrumentation
  • Celiac Artery* / diagnostic imaging
  • Celiac Artery* / physiopathology
  • Chronic Disease
  • Computed Tomography Angiography
  • Female
  • Humans
  • Mesenteric Artery, Superior* / diagnostic imaging
  • Mesenteric Artery, Superior* / physiopathology
  • Mesenteric Ischemia / diagnostic imaging
  • Mesenteric Ischemia / physiopathology
  • Mesenteric Ischemia / therapy*
  • Mesenteric Vascular Occlusion / diagnostic imaging
  • Mesenteric Vascular Occlusion / physiopathology
  • Mesenteric Vascular Occlusion / therapy*
  • Reperfusion Injury / diagnostic imaging
  • Reperfusion Injury / etiology*
  • Reperfusion Injury / therapy
  • Splanchnic Circulation
  • Stents
  • Treatment Outcome
  • Vascular Patency