Home Radiologic Management of Mesenteric Ischemia
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Recent onset abdominal pain, no peritoneal signs, and known atrial fibrillation. CTA shows calcified atherosclerotic plaque involving the aorta and its major branches, as well as proximal short-segment occlusion of the proximal SMA. No intramural or extra-luminal air. Initial therapy. 3195691
Angiography and endovascular intervention including possible thrombolysis, angioplasty, or stent placement

Usually appropriate
Systemic anticoagulation

Usually appropriate
Surgical endarterectomy or bypass

May be appropriate