What Are My Treatment Options for Mesenteric Ischemia?
The goal of treatment for mesenteric ischemia is to reopen the artery or vein to restore blood flow so that there is not permanent damage to the intestine. The specifics of your condition will guide the vascular surgeon as to whether treatment is emergent or elective.
Acute Mesenteric Ischemia Treatment (usually emergent):
- Narcotic pain medication
- Thrombolytic therapy: which is a clot dissolving drug, is injected into the artery
- Surgical removal of the clot and sometimes a part of the intestine if it has been damaged by lack of blood flow
Chronic Mesenteric Ischemia treatment:
- Pain medication
- Balloon angioplasty and stent oftentimes performed at the same time as the diagnostic angiogram
- Bypass surgery: a detour is created around the narrowed or blocked section of the affected artery
Mesenteric Venous Thrombosis Treatment:
- Blood thinners for 3-6 months, or longer if you are found to have a blood clotting disorder
- Surgery: if your bowel is showing signs of damage, it may require surgical removal.