Letter to the editor on endovascular revascularization with stent implantation in patients with acute mesenteric ischemia due to acute arterial thrombosis: clinical outcome and predictive factors

We read with great interest the article of Pedersoli et al. [1] recently published in an issue of the journal. The authors retrospectively described their experience on the emergency treatment of acute mesenteric ischemia with endovascular stenting of the superior mesenteric artery (SMA) and/or celiac trunk (CA). A total of 17 of the 40 patients (42.5%) presented with bowel necrosis (2/17) or ischemia (15/17) on pre-interventional computed tomography. Two out of 40 patients (5%) underwent surgery before stent deployment. Revascularization of the target vessel was successful in 36/40 patients (90%). After stenting, 25 out of 40 patients (62.5%) underwent abdominal laparoscopy or laparotomy; specifically, in 12 patients (48%) the ischemic bowel was resected, and in the remaining 13 patients (52%) no additional surgery was needed or possible