The goal of treatment for mesenteric ischemia (both chronic and acute) is to re-open the artery to allow adequate blood flow to reach the intestine to allow it to work properly. Because this must be accomplished before permanent damage is done to the bowel, depending on the situation, treatment may be performed as an emergency or as a scheduled procedure.
1. Chronic
Mesenteric IschemiaTreatment for chronic mesenteric ischemia may include:
__Angioplasty and stenting
__Bypass surgery
__Trans-aortic endarterectomy
2. Acute Mesenteric Ischemia
Because acute mesenteric ischemia is treated on an emergency basis, a vascular surgeon will try to remove the clot with catheters or by surgery. Since the effectiveness, risk, and durability of each tool available for the treatment of mesenteric ischemia depends upon many issues, a vascular surgeon will advise the best procedure for each patient.