From: Treatment outcomes in patients with acute thromboembolic occlusion of the superior mesenteric artery
Variables | Endovascular first(n = 21) | Open surgery first(n = 37) | Conservative treatment(n = 4) | pa |
---|---|---|---|---|
Procedure duration, median (IQR), min | 95(70–142) | 200(170–243) | - | < 0.01 |
Blood loss, median (IQR), ml | 20(15–25) | 200(100–300) | - | < 0.01 |
Ischemic bowel requiring resection, % | 35 | 70 | 25 | 0.020 |
Bowel resection, median, mean ± SD, m | 1.43 ± 0.96 | 2.2 ± 1.2 | 3.5 | 0.541 |
Complications | ||||
Acute kidney injury, % | 24 | 57 | 25 | 0.66 |
Pulmonary failure, % | 10 | 35 | 0 | 0.061 |
Myocardial infarction, % | 19 | 41 | 25 | 0.377 |
Stroke, % | 5 | 5 | 0 | 1.000 |
Second-look operation, % | 33 | 3 | 25 | 0.004 |
Sepsis, % | 19 | 51 | 25 | 0.051 |
Limited resection, % | 76 | 59 | 75 | 0.471 |
Bowel rest time | 6(5–10) | 11(8–19) | 5(3–5) | 0.022 |
Hospital stay median (IQR), day | 11(9–17) | 18(9–27) | 7(5–9) | 0.073 |
ICU time median (IQR), day | 0(0–4) | 5(1–14) | 0(0–3) | 0.001 |
Ventilator used time median (IQR), hour | 0(0–5) | 11(1–50) | 0(0–0) | 0.001 |
Mortality, % | 19 | 43 | 25 | 0.200 |