{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T10:22:13Z","timestamp":1793182933394,"version":"4.5.0"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T00:00:00Z","timestamp":1647216000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Few centers have adopted endovascular revascularization for the treatment of superior mesenteric artery embolism (SMAE). We sought to evaluate the efficacy of endovascular therapy for the treatment of SMAE and identify post-treatment prognostic factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The clinical data of 41 patients with acute SMA embolism between 2013 and 2021 were retrospectively reviewed. Patients with mesenteric artery thrombosis, mesenteric venous thrombosis, and who had only conservative treatment were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty-one consecutive patients were identified with SMAE (median age, [range] 35\u201386 years). Endovascular therapy was initiated in 14 patients with no clinical evidence of bowel necrosis, with mainly mechanical thrombectomy, and technical success was achieved in 93%. Endovascular therapy had advantages in duration surgery time, blood loss, bowel rest time, ICU time, and ventilator use. There was no difference in bowel necrosis, length of necrotic bowel resected, or in-hospital mortality between the two groups. An initial white blood cell (WBC) count &amp;gt;15 \u00d7 103\/dl and neutrophil count &amp;gt;13 \u00d7 103\/dl were associated with an increased risk of bowel necrosis, and an initial WBC count, renal function, American Society of Anesthesiologists (ASA &amp;gt;3) and necrotic bowel &amp;gt;2 m were associated with increased mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Endovascular treatment has altered the management of SMAE, and it may be adopted in selected patients who are not at risk for bowel necrosis. Avoidance of bowel necrosis patients and close monitoring for bowel necrosis are important.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.833464","type":"journal-article","created":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T05:03:52Z","timestamp":1647234232000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":21,"title":["Outcome Comparison of Endovascular and Open Surgery for the Treatment of Acute Superior Mesenteric Artery Embolism: A Retrospective Study"],"prefix":"10.3389","volume":"9","author":[{"given":"Wenrui","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saisai","family":"Cao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiwen","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renming","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueming","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hai","family":"Feng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,3,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1016\/j.surg.2011.07.079","article-title":"Morbidity and mortality after bowel resection for acute mesenteric ischemia","volume":"150","author":"Gupta","year":"2011","journal-title":"Surgery."},{"key":"B2","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1016\/j.amjsurg.2003.10.022","article-title":"Surgical therapy for acute superior mesenteric artery embolism","volume":"188","author":"Bingol","year":"2004","journal-title":"Am J Surg."},{"key":"B3","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/j.ejvssr.2016.12.002","article-title":"Percutaneous mechanical thrombectomy treatment of acute superior mesenteric artery embolism","volume":"34","author":"Zhang","year":"2017","journal-title":"EJVES Short Rep."},{"key":"B4","doi-asserted-by":"publisher","first-page":"1964765","DOI":"10.1155\/2017\/1964765","article-title":"Endovascular treatment for acute thromboembolic occlusion of the superior mesenteric artery and the outcome comparison between endovascular and open surgical treatments: a retrospective study","volume":"2017","author":"Zhang","year":"2017","journal-title":"Biomed Res Int."},{"key":"B5","doi-asserted-by":"publisher","first-page":"3224","DOI":"10.1007\/s00268-019-05149-x","article-title":"Open and endovascular management of acute mesenteric ischaemia: a systematic review","volume":"43","author":"Murphy","year":"2019","journal-title":"World J Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1016\/S0039-6109(05)70549-1","article-title":"The mesenteric circulation. 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