{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:13:40Z","timestamp":1791231220214,"version":"4.1.0"},"reference-count":9,"publisher":"Termedia Sp. z.o.o.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol J Radiol"],"abstract":"Introduction<\/jats:title>To retrospectively evaluate single-centre experience in endovascular therapy (EVT) of acute superior mesenteric artery (SMA) occlusion by assessing technical success, mortality, and its dependence on the level and aetiology of occlusion.<\/jats:p><\/jats:sec>Material and methods<\/jats:title>Eighty patients presented with acute SMA occlusion and underwent EVT at our centre from 2018 to 2020. Clinical diagnosis was confirmed by computed tomography angiography (CTA). Based on findings of CTA and digital subtraction angiography, we classified all cases by the number of SMA large branches that remained non-occluded (ostial, proximal, distal occlusion), as well as according to aetiology (embolic, thrombotic). Technical success was evaluated according to restoration of blood flow to the SMA stem and all large branches (successful, partially successful, failure).<\/jats:p><\/jats:sec>Results<\/jats:title>Thrombotic aetiology was identified in 25.0% and embolic in 75.0% of patients. We distinguished 3 occlusion level types: ostial occlusion (23.8%), proximal occlusion (47.5%), and distal occlusion (28.7%). 67.5% of cases were technically successful, 12.5% were partially successful, and 20.0% resulted in technical failure. The 30-day mortality rate was 55.0%. EVT technical success did not statistically depend on the aetiology or on the level of occlusion. The aetiology of occlusion had no statistical significance regarding intrahospital mortality. In the group with EVT failure, fewer non-occluded large branches meant more fatal cases, and vice versa.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Despite EVT technical success rates being adequate, mortality rates remain extremely high. While the occlusion level appeared to have no influence over EVT technical success rates, it may be a potentially useful prognostic factor in the case of failed recanalization. Aetiology of the occlusion seemed to have no impact on technical success or mortality.<\/jats:p><\/jats:sec>","DOI":"10.5114\/pjr.2022.123551","type":"journal-article","created":{"date-parts":[[2023,1,2]],"date-time":"2023-01-02T10:15:35Z","timestamp":1672654535000},"page":"652-660","source":"Crossref","is-referenced-by-count":1,"title":["Single-centre experience in the endovascular treatment of acute superior mesenteric artery occlusion: an observational analytical 3-year study"],"prefix":"10.5114","volume":"87","author":[{"given":"Dominykas","family":"Kaupas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramona","family":"Matusevi\u010di\u016bt\u0117","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rytis Stasys","family":"Kaupas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3061","published-online":{"date-parts":[[2022,12,5]]},"reference":[{"key":"ref-1151510","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1053\/j.semvascsurg.2009.12.001","article-title":"Epidemiology of mesenteric vascular disease: clinical implications","volume":"23","author":"Acosta S","year":"2010","unstructured":"Acosta S. Epidemiology of mesenteric vascular disease: clinical implications. Semin Vasc Surg 2010; 23: 4-8.","journal-title":"Semin Vasc Surg"},{"key":"ref-1151511","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1002\/bjs.4459","article-title":"Systematic review of survival after acute mesenteric ischaemia according to disease aetio-logy","volume":"91","author":"Schoots IG","year":"2004","unstructured":"Schoots IG, Koffeman GI, Legemate DA, et al. Systematic review of survival after acute mesenteric ischaemia according to disease aetio-logy. Br J Surg 2004; 91: 17-27.","journal-title":"Br J Surg"},{"key":"ref-1151512","first-page":"460","volume-title":"Eur J Vasc Endovasc Surg","author":"Bj\u00f6rck M","year":"2017","unstructured":"Bj\u00f6rck M, Koelemay M, Acosta S, et al. Editor\u2019s choice \u2013 Management of the diseases of mesenteric arteries and veins: clinical practice guidelines of the european society of vascular surgery (ESVS). Eur J Vasc Endovasc Surg 2017; 53: 460-510."},{"key":"ref-1151513","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1007\/s00270-017-1749-3","article-title":"What is the best revascularization strategy for acute occlusive arterial mesenteric ischemia: systematic review and meta-analysis","volume":"41","author":"Salsano G","year":"2018","unstructured":"Salsano G, Salsano A, Sportelli E, et al. What is the best revascularization strategy for acute occlusive arterial mesenteric ischemia: systematic review and meta-analysis. Cardiovasc Intervent Radiol 2018; 41: 27-36.","journal-title":"Cardiovasc Intervent Radiol"},{"key":"ref-1151514","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1007\/s00270-015-1064-9","article-title":"Endovascular therapy as a primary revascularization modality in acute mesenteric ischemia","volume":"38","author":"K\u00e4rkk\u00e4inen JM","year":"2015","unstructured":"K\u00e4rkk\u00e4inen JM, Lehtim\u00e4ki TT, Saari P, et al. Endovascular therapy as a primary revascularization modality in acute mesenteric ischemia. Cardiovasc Intervent Radiol 2015; 38: 1119-1129.","journal-title":"Cardiovasc Intervent Radiol"},{"key":"ref-1151515","doi-asserted-by":"crossref","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 Z","year":"2014","unstructured":"Jia Z, Jiang G, Tian F, et al. Early endovascular treatment of superior mesenteric occlusion secondary to thromboemboli. Eur J Vasc Endovasc Surg 2014; 47: 196-203.","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"ref-1151516","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1007\/s00270-015-1156-6","article-title":"Endovascular management of acute embolic occlusion of the superior mesenteric artery: a 12-year single-centre experience","volume":"39","author":"Raupach J","year":"2016","unstructured":"Raupach J, Lojik M, Chovanec V, et al. Endovascular management of acute embolic occlusion of the superior mesenteric artery: a 12-year single-centre experience. Cardiovasc Intervent Radiol 2016; 39: 195-203.","journal-title":"Cardiovasc Intervent Radiol"},{"key":"ref-1151517","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1007\/s00270-021-02824-2","article-title":"Endovascular revascularization with stent implantation in patients with acute mesenteric ischemia due to acute arterial thrombosis: clinical outcome and predictive factors","volume":"44","author":"Pedersoli F","year":"2021","unstructured":"Pedersoli F, Sch\u00f6nau K, Schulze-Hagen M, et al. Endovascular revascularization with stent implantation in patients with acute mesenteric ischemia due to acute arterial thrombosis: clinical outcome and predictive factors. Cardiovasc Intervent Radiol 2021; 44: 1030-1038.","journal-title":"Cardiovasc Intervent Radiol"},{"key":"ref-1151518","doi-asserted-by":"crossref","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 experience","volume":"51","author":"Freitas B","year":"2018","unstructured":"Freitas B, Bausback Y, Schuster J, et al. Thrombectomy devices in the treatment of acute mesenteric ischemia: initial single-center experience. Ann Vasc Surg 2018; 51: 124-131.","journal-title":"Ann Vasc Surg"}],"container-title":["Polish Journal of Radiology"],"original-title":[],"link":[{"URL":"https:\/\/www.polradiol.com\/pdf-154587-108976","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.polradiol.com\/pdf-154587-108976","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T11:34:17Z","timestamp":1716377657000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.polradiol.com\/Single-centre-experience-in-the-endovascular-treatment-of-acute-superior-mesenteric,154587,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,5]]},"references-count":9,"alternative-id":["154587"],"URL":"https:\/\/doi.org\/10.5114\/pjr.2022.123551","relation":{},"ISSN":["1899-0967"],"issn-type":[{"value":"1899-0967","type":"print"}],"subject":[],"published":{"date-parts":[[2022,12,5]]}}}