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. 2012 Apr 6;109(14):249–256. doi: 10.3238/arztebl.2012.0249

Table. Endovascular treatment for AMI.

Treatment Indication Level of evidence
Arterial
Transfemoral aspiration embolectomy Large embolus close to outlet IIa, C
IA continuous drug perfusion (papaverine, prostavasin, heparin) Peripheral embolism with no peritonitis IIa, C
nonocclusive ischemia
Local fibrinolysis (rt-PA) Peripheral embolism with no peritonitis IIa, C
as diagnostic technique for cases of stenosis
Stent PTA Stenoses and occlusions close to outlet I, B
Portal venous (transjugular transhepatic)
Portal venous rechanneling Ischemia of the wall of the intestine in cases of mesenteric/portal venous thrombosis IV
Portal decompression (TIPS) Portal hypertension with venous ischemia of the wall of the intestine caused by congestion IV

AMI: acute mesenteric ischemia; IA: intraarterial; rt-PA: recombinant tissue plasminogen activator; PTA: percutaneous transluminal angioplasty; TIPS, transjugular intrahepatic portosystemic stent shunt