Endovascular treatment for acute intestinal ischemia following superior mesenteric artery thrombosis

The study evaluated outcomes and risk factors of mortality in patients with acute arterial intestinal ischemia. A retrospective analysis enrolled 22 patients. Overall in-hospital mortality was 54.4%. Independent predictors of fatal outcomes were high WBC count (OR=1.188; p=0.005), elevated total bilirubin (OR=1.058; p=0.023), and high CCI (OR=1.272; p=0.037). Technical success of endovascular treatment reached 77.3%. High mortality rate is due to a combination of age, severity of comorbidities and pathophysiological characteristics of ischemic bowel injury. To further refine the treatment algorithm, it is advisable to establish multiple-center registries, implement interdisciplinary “intestinal teams” and further study risk factors for adverse outcomes.