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Date of Award

Spring 2020

Degree Name

Master of Medical Science (Physician Assistant)

Department

Physician Assistant; College of Health Sciences

First Advisor

Renee Langstaff

Second Advisor

Michael Huber

Abstract

Acute mesenteric ischemia (AMI) continues to be a life-threatening diagnosis with time-sensitivity to intervention. Not only is AMI an infrequent presentation to the emergency room, but the variability in etiology also poses difficulty in diagnosing and choosing a treatment. A classically open approach carries high rates of morbidity and mortality. Within recent decades, different endovascular approaches have been developed, including: combinations of antegrade or retrograde approaches, intra-arterial thrombolysis, and suction embolectomies. Limited studies have been produced and almost no consistency between results and outcomes has been demonstrated. This paper aims to answer: Does an endovascular approach (I) to acute mesenteric ischemia provide better outcomes (O) than an open approach (C) in adults (P)?

Additional Files

AMI Poster Presentation .pdf (13094 kB)

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Current Surgical Approaches for Acute Mesenteric Ischemia

Acute mesenteric ischemia (AMI) continues to be a life-threatening diagnosis with time-sensitivity to intervention. Not only is AMI an infrequent presentation to the emergency room, but the variability in etiology also poses difficulty in diagnosing and choosing a treatment. A classically open approach carries high rates of morbidity and mortality. Within recent decades, different endovascular approaches have been developed, including: combinations of antegrade or retrograde approaches, intra-arterial thrombolysis, and suction embolectomies. Limited studies have been produced and almost no consistency between results and outcomes has been demonstrated. This paper aims to answer: Does an endovascular approach (I) to acute mesenteric ischemia provide better outcomes (O) than an open approach (C) in adults (P)?