Table 2.
Endovascular procedures in occlusion of SMA
| Endovascular procedure | Advantages and challenges | References |
|---|---|---|
| Aspiration embolectomy |
Lower mortality Patients without peritonitis Repeat procedures |
[100, 101] |
| SMA thrombolysis |
Bleeding complications Laparotomy required in 38% Patients without peritonitis Contraindicated: recent surgery, trauma, cerebrovascular or gastrointestinal bleeding, and uncontrolled hypertension |
[102] |
| Antegrade stenting |
Risk of dissection Unfavorable artery angulation |
[103] |
| Retrograde stenting |
Laparotomy necessary Avoiding bypass when necrotic bowel presents Success 94% |
[104–106] |