{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T22:58:11Z","timestamp":1780095491577,"version":"3.54.0"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rofo"],"abstract":"<jats:p>\n            Purpose\u2002To evaluate the efficacy and safety of percutaneous rotational thrombectomy-assisted endovascular revascularization of acute thromboembolic superior mesenteric artery occlusions in acute mesenteric ischemia.<\/jats:p><jats:p>\n            Materials and Methods\u2002Fifteen cases of percutaneous rotational thrombectomy- assisted (Rotarex S, BD, USA) revascularization were retrospectively analyzed. The etiology was embolic in 40\u200a% of cases and thrombotic in 60\u200a%. A \u201cThrombectomy in Visceral Ischemia\u201d (TIVI) 5-point score determined vessel patency at presentation, after percutaneous rotational thrombectomy, and after adjunctive technologies. TIVI 3 indicated nearly complete revascularization (minimal residual side branch thrombus). TIVI 4 indicated complete revascularization. Technical success was defined as successful device application and a final TIVI score of 3\/4 after adjunctive technologies. Safety and outcome were also analyzed.<\/jats:p><jats:p>\n            Results\u2002Device application via femoral access was feasible in 100\u200a% of cases and improved flow in 86.7\u200a% of cases (1\u200a\u00d7 TIVI 0\u21921, 11\u200a\u00d7 TIVI 0\u21922, 1\u200a\u00d7 TIVI 1\u21922). There was no change in 13.3\u200a% of cases (2\u200a\u00d7 TIVI 2\u21922). Additional devices resulted in further flow improvement in 93.3\u200a% of cases (8\u200a\u00d7 TIVI 3, 6\u200a\u00d7 TIVI 4). One recanalization failed (TIVI 2\u21922\u21922). After adjunctive technologies (10\u200a\u00d7 manual aspiration, 11\u200a\u00d7 angioplasty, 9\u200a\u00d7 stenting), the technical success rate was 93.3\u200a%. The mean procedure time was 40.5(\u00b1\u200a14) minutes for embolism and 72.1(\u00b1\u200a20) minutes for thrombosis. There was one device-related major complication (catheter tip fracture) resulting in a device-related safety rate of 93.3\u200a%. The overall major complication rate was 20\u200a%. Surgical exploration (13\u200a\u00d7), bowel resection (9\u200a\u00d7) and Fogarty embolectomy\/bypass (3\u200a\u00d7) were also performed. The 30-day mortality rate was 40\u200a%.<\/jats:p><jats:p>\n            Conclusion\u2002Percutaneous rotational thrombectomy is an effective adjunct for rapid endovascular recanalization of acute thromboembolic superior mesenteric artery occlusions with an acceptable rate of major procedural complications.<\/jats:p><jats:p>\n            Key Points\u2002<\/jats:p>","DOI":"10.1055\/a-2234-0333","type":"journal-article","created":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T00:00:27Z","timestamp":1710374427000},"source":"Crossref","is-referenced-by-count":5,"title":["Safety, Efficacy and Outcome of Rotational Thrombectomy assisted Endovascular Revascularisation of the Superior Mesenteric Artery in Acute Thromboembolic Mesenteric Ischaemia"],"prefix":"10.1055","author":[{"given":"Annette","family":"Thurner","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital W\u00fcrzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominik","family":"Peter","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, Transplantation, Vascular and Pediatric Surgery, University Hospital W\u00fcrzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Dalla Torre","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital W\u00fcrzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Flemming","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, Transplantation, Vascular and Pediatric Surgery, University Hospital W\u00fcrzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph","family":"Kickuth","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital W\u00fcrzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,3,13]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1186\/s13017-022-00443-x","article-title":"Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery","volume":"17","author":"M Bala","year":"2022","journal-title":"World J Emerg Surg"},{"issue":"01","key":"ref2","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1007\/s00268-019-05183-9","article-title":"Surgical Outcomes in Acute Mesenteric Ischemia: Has Anything Changed Over the Years?","volume":"44","author":"M A Acosta-M\u00e9rida","year":"2020","journal-title":"World J Surg"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1016\/j.avsg.2017.11.041","article-title":"Thrombectomy Devices in the Treatment of Acute Mesenteric Ischemia: Initial Single-Center 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