{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T19:02:19Z","timestamp":1789498939811,"version":"build-2803163510"},"reference-count":23,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract  Background Chronic mesenteric ischemia (CMI) is a debilitating disease with a heavy burden on quality of life. Stenting of the superior mesenteric artery (SMA) is the first option for treatment, but there is a lack of consensus defining precise indications for open revascularization (OR).  Objectives To describe a series of 4 patients with CMI treated with OR and to present an algorithm for the management of this condition.  Methods Three patients presented with typical intestinal angina and weight loss. One patient was subjected to prophylactic revascularization during open abdominal aortic aneurysm repair. Surgical techniques included: 1) Bypass from the infrarenal aorta to the SMA; 2) Bypass from an aorto-bifemoral polyester graft to the SMA; 3) Bypass from the right iliac artery to the SMA; 4) Bypass from the right graft limb of an aorto-biiliac polyester graft to the median colic artery at Riolan\u2019s arcade. PTFE was used in all surgeries. All grafts were placed in a retrograde configuration, tunneled under the left renal vein, making a smooth C-loop. A treatment algorithm was constructed based on the institution\u2019s experience and a review of recent literature.  Results All patients demonstrated resolution of symptoms and recovery of body weight. All grafts are patent after mean follow-up of two years.  Conclusions Open revascularization using the C-loop configuration is a valuable technique for CMI and may be considered in selected cases. The algorithm constructed may help decision planning in other quaternary centers.<\/jats:p>","DOI":"10.1590\/1677-5449.202301482","type":"journal-article","created":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T10:22:36Z","timestamp":1707733356000},"source":"Crossref","is-referenced-by-count":1,"title":["Open revascularization for chronic mesenteric ischemia in the endovascular era: a quaternary-center experience and management algorithm"],"prefix":"10.1590","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2297-504X","authenticated-orcid":false,"given":"Bruno Pagnin","family":"Schmid","sequence":"first","affiliation":[{"name":"Universidade Estadual de Campinas,  Brasil; Hospital Israelita Albert Einstein,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2086-1337","authenticated-orcid":false,"given":"Vin\u00edcius Adorno","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6048-0710","authenticated-orcid":false,"given":"Lucas Marcelo Dias","family":"Freire","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3259-7142","authenticated-orcid":false,"given":"Felipe","family":"Nasser","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7747-308X","authenticated-orcid":false,"given":"F\u00e1bio H\u00fcsemann","family":"Menezes","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1053\/j.semvascsurg.2009.12.003","article-title":"Chronic mesenteric ischemia: how to select patients for invasive treatment","volume":"23","author":"Chandra A","year":"2010","journal-title":"Semin Vasc Surg"},{"key":"ref2","series-title":"Protocolos e condutas em terapia intensiva.","first-page":"571","volume-title":"Angina abdominal e trombose mesent\u00e9rica.","author":"Menezes FH","year":"2014"},{"issue":"6","key":"ref3","doi-asserted-by":"crossref","first-page":"1805","DOI":"10.1016\/j.jvs.2017.10.071","article-title":"Improved mortality in treatment of patients with endovascular interventions for chronic mesenteric ischemia","volume":"67","author":"Erben Y","year":"2018","journal-title":"J Vasc 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