nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”nmp-275Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESЭНДОВАСКУЛЯРНЫЕ МЕТОДЫ ЛЕЧЕНИЯ ПРИ ОСТРОМ НАРУШЕНИИ МЕЗЕНТЕРИАЛЬНОГО КРОВООБРАЩЕНИЯENDOVASCULAR TREATMENT FOR ACUTE DISORDERS OF MESENTERIC CIRCULATIONПрозоровС. А.ProzorovS. A.

д.м.н., ведущий научный сотрудник отделения рентгенохирургических методов диагностики и лечения, 

Москва

Moscow

surgeonserge@mail.ruГришинА. В.GrishinA. V.

Москва

Moscow

НИИ скорой помощи им. Н.В. Склифосовского ДЗ г. МосквыРоссияN.V. Sklifosovsky Researh Institute for Emergency MedicineRussian Federation201620062016023742Copyright © Прозоров С.А., Гришин А.В., 20162016Прозоров С.А., Гришин А.В.Prozorov S.A., Grishin A.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/275

Острое нарушение мезентериального кровообращения — тяжелое заболевание с высокой летальностью, чаще развивается вследствие нарушения артериального, реже венозного кровотока. Этиология: тромбоз, эмболия, сдавление просвета сосудов при расслоении. Для восстановления мезентериального кровотока используют эндоваскулярные методики: механическую реканализацию, баллонную ангиопластику, стентирование, тромболизис, тромбоаспирацию, их различные сочетания. При невозможности реканализации верхней брыжеечной артерии антеградно выполняют гибридные операции: ретроградное стентирование при лапаротомии. Проведенный обзор показывает, что эндоваскулярные методы — перспективное направление лечения при острой мезентериальной ишемии.

An acute disorder of mesenteric circulation is a serious disease with high mortality. It occurs much more often due to the arterial flow impairment, and less often due to the venous blood flow disturbance. Etiology: thrombosis, embolism, compression of the lumen under dissection. To restore the mesenteric blood flow endovascular techniques are performed: mechanical recanalization, balloon angioplasty, stent installation, thrombolysis, tromboaspiration and their various combinations. If recanalization of the superior mesenteric artery is unable to be performed, hybrid operations are carried out anterogradely: retrograde stent installation during laparotomy. The review shows that endovascular methods is a promising direction of treatment for acute mesenteric ischemia.

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The authors declare that there are no conflicts of interest present.