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Home Radiologic Management of Mesenteric Ischemia

Variants

History of abdominal pain after meals for the past few months and weight loss. CTA shows aortic atherosclerotic disease and suggests SMA-origin stenosis with occlusion of celiac origin and an occluded IMA. Initial therapy.

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Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

History of abdominal pain after meals for the past few months and weight loss. CTA shows aortic atherosclerotic disease and suggests SMA-origin stenosis with occlusion of celiac origin and an occluded IMA. Initial therapy.

3195696

Angiography with possible percutaneous transluminal angioplasty and stent placement

Usually appropriate

Surgical bypass or endarterectomy

May be appropriate

Systemic anticoagulation

May be appropriate