Appointments

866.320.4573

Request an Appointment

Questions

800.223.2273

Contact us with Questions

Expand Content

Visceral Ischemic Syndrome Treatment Options

Thrombolysis

Thrombolytic therapy uses drugs designed to dissolve clots and restore normal blood flow. Your physician will inject a clot-dissolving medication into a blood vessel. A catheter (a long, thin tube) may also be used to deliver the medication or to break up the clot. This is not a common treatment for this disease.

Angioplasty

Angioplasty is used to widen the artery that is narrowed.. During angioplasty, a small balloon at the tip of the catheter is inflated to stretch the artery open and increase blood flow. A stent may be necessary at times and is placed during the angioplasty procedure to keep the artery open. A stent is a small, metal mesh tube that acts as a scaffold and provides support inside the artery.  A balloon catheter, placed over a guide wire, is used to insert the stent into the narrowed vein. Once in place, the balloon is inflated and the stent expanded to the size of the artery holding it open. The balloon is deflated and removed, and the stent stays in place permanently.

When is surgery for visceral ischemic syndrome necessary?

Emergency visceral ischemic syndrome surgical treatment may be performed to remove the blood clot or bypass the blocked vessel and restore blood flow to the intestines. This is particularly true of acute mesenteric ischemia. If tissue death has occurred, the surgeon may need to remove a portion of the intestine if tissue death has occurred.

Otherwise, surgery is indicated when the blockage has drastically reduced the blood flow to the intestines.

Visceral ischemic syndrome surgical treatment may be performed to remove plaque (atherectomy/endarterectomy), bypass the blocked vessel to restore blood flow to the intestines, or remove or repair an aneurysm.

Surgical Bypass

A surgical bypass reroutes blood flow around the blood vessel blockage by creating a new pathway for blood flow using a graft. To bypass the blockage, the surgeon makes a small opening just below the blockage in the diseased artery and places a graft, which is either a portion of one of your veins or a man-made synthetic tube. The surgeon will connect the graft above and below a blockage to allow blood around the blockage.

Endarterectomy

Endarterectomy may be performed to surgically remove the blockage. The surgeon will make an incision in the affected artery and remove the plaque contained in the artery's inner lining restore blood flow.

Outcomes for visceral ischemic syndrome surgical treatment at Cleveland Clinic

Surgery for chronic mesenteric ischemia is successful at relieving the pain associated with the disease in more than 90 percent of patients. Unfortunately, nearly 10 percent of patients develop a recurrence of symptoms at some point in their life. The recurrence is typically due to progression of the atherosclerotic disease. This can be prevented by adopting a healthy lifestyle.

HealthHub from Cleveland Clinic

Read the Latest from Our Experts About » cctopics » Heart & Vascular Health
Recipe: Ensalada de Noche Buena (Christmas Eve Salad)
12/18/14 8:00 a.m.
A favorite holiday dish for Mexicans is the ensalada de Noche Buena—or Christmas Eve salad. The tradition calls for serving this flavorful salad on Christmas Eve or at holi...
by Heart & Vascular Team
Try These 3 Mediterranean Dishes for Your Holiday Dinner
12/17/14 8:00 a.m.
Imagine a holiday table piled high with beautiful plates of brightly colored vegetables, fish, salads, grains, ...
Your Heart: 3 Amazing Medical Innovations (Video)
12/15/14 8:06 a.m.
Every year, Cleveland Clinic presents the top 10 medical innovations — the most influential and potential...
5 Things You Should Know About Stress Tests
12/12/14 10:30 a.m.
If your doctor has scheduled you for a stress test, it’s helpful to know a few tips before you step on that tre...
6 Yummy Cookie Recipes That Are Actually Healthy
12/11/14 11:30 a.m.
The holiday season is typically a time we indulge — which includes cookies and sweets. Desserts tend to b...