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Complications - Iliacomesenteric venous bypass in superior mesenteric artery occlusion—Vascular Surgery

vascular surgery
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Anatomy Perioperative management Technique Complications Evidence Total Video

  1. Intraoperative complications

    Acute thrombosis of the superior mesenteric artery

    • Thrombectomy, immediate reconstruction

    Lack of bypass vein

    • Delicate retrograde thrombectomy with a ring stripper, or a synthetic graft

  2. Postoperative complications

    Hemodynamically significant postoperative bleeding

    • Surgical revision
    • Stabilization of coagulation

    Recurrent occlusion with acute mesenteric ischemia.

    • Revision of the vascular repair
    • If intestinal ischemia is irreversible → segmental resection, possibly Hartmann procedure with colostomy