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Review
. 2025 Jul 11.
doi: 10.1007/s00261-025-05038-z. Online ahead of print.

Imaging and endovascular interventions in mesenteric ischaemia

Divij Agarwal  1 , Sanchita Gupta  1 , Sai Krishna Gadwal  1 , Anand Narayan Singh  2 , Prashant Sarda  3 , Chandan J Das  4
Affiliations
Review

Imaging and endovascular interventions in mesenteric ischaemia

Divij Agarwal et al. Abdom Radiol (NY). .

Abstract

Mesenteric ischaemia is a rare cause of abdominal pain caused by a reduction in blood flow to the small or large bowel. It typically has a non-specific clinical presentation, which causes diagnostic delays, that have a major impact on clinical outcome, resulting in high disease morbidity and death. Acute mesenteric ischemia is a life-threatening illness that necessitates high clinical suspicion and early imaging examination for accurate diagnosis. Chronic mesenteric ischemia caused by atherosclerotic arterial disease can result in severe patient morbidity with postprandial pain and food aversion, leading to malnutrition and unintentional weight loss. While endovascular therapies are more well-established in treating chronic mesenteric ischemia, they are also becoming increasingly popular in treating acute mesenteric ischemia. This review delves into the pathogenesis, clinical characteristics, classification, imaging, and minimally invasive endovascular therapies for mesenteric ischaemia.

Keywords: Acute; CT angiography; Catheter angiography; Embolism; Endovascular; Irreversible ischaemia; Mesenteric ischaemia; Occlusive; Reversible ischaemia; Thrombosis.

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Conflict of interest statement

Declarations. Competing interests: The authors declare no competing interests.

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