Home Radiologic Management of Mesenteric Ischemia
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Abdominal pain after meals and CTA showing widely patent origins of SMA and IMA, with compression of the celiac origin by the median arcuate ligament. Initial therapy. 3195695
Surgery with median arcuate ligament release


Usually appropriate
Mesenteric angiography in lateral projection during both inspiration and expiration


Usually appropriate
Supportive measures only


May be appropriate
Percutaneous transluminal angioplasty with stent placement


May be appropriate
Systemic anticoagulation


Usually not appropriate