Intestinal Infarction (Mesenteric Infarction): Therapy

General measures

  • Intensive medical therapy (including fluid substitution to stabilize hemodynamics; anticoagulation (inhibition of blood clotting) to prevent exacerbation (worsening of symptoms) of thromboembolic occlusive processes; antibiotic therapy).
  • Review of permanent medication due topossible impact on the existing disease.

Interventional therapeutic procedures for arterial mesenteric ischemia

  • Transfemoral (access via an artery in the groin) aspiration embolectomy (removal of the embolus (vascular plug) by suction).
  • Intra-arterial pharmacospurge perfusion.
  • Local fibrinolysis (fibrin cleavage)
  • Stent PTA (percutaneous transluminal angioplasty).

Interventional therapeutic procedures for venous mesenteric ischemia

  • Portal venous recanalization (reopening of an occluded vessel).
  • Portal decompression (TIPS)

Interventional procedures are contraindicated for the following conditions: