ACR AC Portal

Home Radiologic Management of Mesenteric Ischemia

Variants

Patient with cardiac disease causing low cardiac output who developed abdominal pain but without peritoneal signs. CTA shows patent origins and proximal portions of celiac artery, SMA, and IMA, with diffuse irregular narrowing of SMA branches. Initial therapy.

Documents

Narrative
Evidence Table
Lit Search
Appendix

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Patient with cardiac disease causing low cardiac output who developed abdominal pain but without peritoneal signs. CTA shows patent origins and proximal portions of celiac artery, SMA, and IMA, with diffuse irregular narrowing of SMA branches. Initial therapy.

3195692

Angiography with infusion of vasodilator

Usually appropriate

Systemic anticoagulation

Usually appropriate

Systemic infusion of prostaglandin E1

May be appropriate

Angiography with percutaneous transluminal angioplasty

Usually not appropriate