{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T22:46:01Z","timestamp":1763160361972,"version":"3.45.0"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Acute mesenteric ischemia is a rare but potentially fatal condition, with an estimated mortality rate of 80%. Early diagnosis and intervention are crucial. While laparotomy and open revascularization have traditionally been the standard approach, endovascular techniques are emerging as viable alternatives. We report the case of a frail 76-year-old patient with an acute exacerbation of chronic mesenteric ischemia who underwent successful endovascular revascularization of the superior mesenteric artery with percutaneous thrombectomy, avoiding the need for laparotomy. This case illustrates that an endovascular-first approach can be a feasible option for selected patients, with close monitoring to ensure timely surgical revision if necessary.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf907","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T22:44:56Z","timestamp":1763160296000},"source":"Crossref","is-referenced-by-count":0,"title":["Endovascular approach for acute-on-chronic mesenteric ischemia: the holy grail for old and frail patients"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2252-9872","authenticated-orcid":false,"given":"Roberto","family":"Cunha","sequence":"first","affiliation":[{"name":"Angiology and Vascular Surgery Department, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada , Ponta Delgada, S\u00e3o Miguel \u2013 A\u00e7ores ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuno","family":"Coelho","sequence":"additional","affiliation":[{"name":"Angiology and Vascular Surgery Department, Unidade Local de Sa\u00fade de Vila Nova de Gaia e Espinho , Rua Concei\u00e7\u00e3o Fernandes, s\/n, 4434-502 Vila Nova de Gaia ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreia","family":"Coelho","sequence":"additional","affiliation":[{"name":"Angiology and Vascular Surgery Department, Unidade Local de Sa\u00fade de Vila Nova de Gaia e Espinho , Rua Concei\u00e7\u00e3o Fernandes, s\/n, 4434-502 Vila Nova de Gaia ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Angiology and Vascular Surgery Department, Unidade Local de Sa\u00fade de Vila Nova de Gaia e Espinho , Rua Concei\u00e7\u00e3o Fernandes, s\/n, 4434-502 Vila Nova de Gaia ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Canedo","sequence":"additional","affiliation":[{"name":"Angiology and Vascular Surgery Department, Unidade Local de Sa\u00fade de Vila Nova de Gaia e Espinho , Rua Concei\u00e7\u00e3o Fernandes, s\/n, 4434-502 Vila Nova de Gaia ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"key":"2025111417445230100_ref1","doi-asserted-by":"publisher","first-page":"101278","DOI":"10.1016\/j.jvscit.2023.101278","article-title":"Penumbra aspiration thrombectomy of the superior mesenteric artery for mesenteric ischemia","volume":"9","author":"Creisher","year":"2023","journal-title":"J Vasc Surg Cases Innov Tech"},{"key":"2025111417445230100_ref2","first-page":"1055","article-title":"Safety, efficacy and outcome of rotational thrombectomy assisted endovascular revascularisation of the superior mesenteric artery in acute thromboembolic mesenteric ischaemia [Thrombembolischer Verschluss der a. mesenterica superior bei akuter Mesenterialisch\u00e4mie: Wirksamkeit und Sicherheit additiver rotations-Thrombektomie bei der endovaskul\u00e4ren Revaskularisation]","volume":"196","author":"Annette Thurner","year":"2024","journal-title":"Rofo"},{"key":"2025111417445230100_ref3","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1016\/j.ejvs.2013.09.025","article-title":"Early endovascular treatment of superior mesenteric occlusion secondary to thromboemboli","volume":"47","author":"Jia","year":"2014","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2025111417445230100_ref4","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1186\/s13017-017-0150-5","article-title":"Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery","volume":"12","author":"Bala","year":"2017","journal-title":"World J Emerg Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/11\/rjaf907\/65292692\/rjaf907.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/11\/rjaf907\/65292692\/rjaf907.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T22:44:56Z","timestamp":1763160296000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf907\/8323573"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":4,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf907","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,11]]},"published":{"date-parts":[[2025,11]]},"article-number":"rjaf907"}}