Treatment for acute mesenteric ischemia is usually an emergency procedure, since severe intestinal damage can occur rapidly in this setting.
In some situations, your physician may use medications, called thrombolytic agents, to dissolve a clot, if one is found soon enough. To perform this treatment, your physician injects clot-dissolving medications into a blood vessel, often at the time of the angiogram. In some cases, the medications flow through your bloodstream to the clot and can disintegrate the clot. However, your vascular surgeon may need to remove the clot surgically, especially if there is evidence of intestinal damage or too little time is available for the thrombolytic agent to work.
In cases of acute mesenteric ischemia, portions of the intestine can be damaged beyond repair. In addition to restoring the blood flow to your intestinal arteries, some patients require surgery to remove the damaged portions of the intestine. This is a decision your vascular surgeon will make, often in conjunction with other surgical specialists.
Since the effectiveness, risk, and durability of each tool available for the treatment of mesenteric ischemia depends upon many issues, your vascular surgeon will advise you as to what procedure is the best for your particular situation.
With acute mesenteric ischemia, you may have sudden, severe stomach pain. Narcotic pain medications may not adequately alleviate the pain that is associated with mesenteric ischemia. With acute mesenteric ischemia, you may also experience nausea or vomiting.
Based on VascularWeb’s Mesenteric Ischemia Guide. Copyright 2009 VascularWeb. All rights reserved.