Evidence map›Paper›PMID 41245823›Full record

ArticleJournal of surgical case reports2025

Endovascular approach for acute-on-chronic mesenteric ischemia: the holy grail for old and frail patients.

Roberto Cunha, Nuno Coelho, Andreia Coelho, Pedro Monteiro, Alexandra Canedo

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Roberto CunhaAngiology and Vascular Surgery Department, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, São Miguel - Açores, Portugal.ORCID https://orcid.org/0000-0003-2252-9872
Nuno CoelhoAngiology and Vascular Surgery Department, Unidade Local de Saúde de Vila Nova de Gaia e Espinho, Rua Conceição Fernandes, s/n, 4434-502 Vila Nova de Gaia, Portugal.
Andreia CoelhoAngiology and Vascular Surgery Department, Unidade Local de Saúde de Vila Nova de Gaia e Espinho, Rua Conceição Fernandes, s/n, 4434-502 Vila Nova de Gaia, Portugal.
Pedro MonteiroAngiology and Vascular Surgery Department, Unidade Local de Saúde de Vila Nova de Gaia e Espinho, Rua Conceição Fernandes, s/n, 4434-502 Vila Nova de Gaia, Portugal.
Alexandra CanedoAngiology and Vascular Surgery Department, Unidade Local de Saúde de Vila Nova de Gaia e Espinho, Rua Conceição Fernandes, s/n, 4434-502 Vila Nova de Gaia, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

acute-on-chronic mesenteric ischemiaaspiration thrombectomyPenumbra systemstentingsuperior mesenteric arterythromboembolic occlusion

Identifiers

PMID41245823
PMCPMC12618027

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.