علاج تجلط الشريان المساريقي الحاد مع الديناميكا الدموية المستقرة وعدم وجود دليل مقطعي على نخر جداري معوي كامل السماكة أو التهاب الصفاق

References

DOI: 10.1007/s00270-025-04080-0

• First-line endovascular revascularisation is currently indicated for patients with stable haemodynamics and no CT evidence of transmural necrosis or peritonitis.
• Intra-vascular volume expansion with crystalloids and blood products must be started immediately to improve visceral perfusion.
• Aggressive fluid resuscitation may be required, potentially exceeding 10 L of IV fluids in the first 24 h of treatment, taking care to avoid volume overload.
• Intravenous full-dose anticoagulation, preferably with unfractionated heparin, should be initiated unless contra-indicated.
• In the acute setting, numerous revascularisation techniques are available, the choice of which depends chiefly on the cause of arterial occlusion.
• An angiogram is then performed to confirm adequate patency of the target vessel and peripheral branches with no residual stenosis < 30%.