Appointments

800.659.7822

Request an Appointment

Questions

800.659.7822

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
Is Marathon Training Too Hard on Your Heart?
4/22/15 8:19 a.m.
Marathons push the envelope of a human’s physical limitations. But can the strenuous training for this ultimate endurance test push a runner’s heart too hard? Outwardly hea...
by Heart & Vascular Team
Heart Disorder May No Longer Keep Kids Out of Sports
4/20/15 2:00 p.m.
For kids with a heart rhythm disorder called long Q-T syndrome, or LQTS, sports are not usually an option. That...
Best Ways to Protect Your Heart From Atrial Fibrillation
4/20/15 8:15 a.m.
If you’re over 40 and your heart flutters, there’s a good chance you’re one of the millions who suffer from atr...
Moderate Activity May Be All Your Heart Needs
4/15/15 8:22 a.m.
If you’re a middle-aged woman who didn’t get to the gym every day last week, here’s some good news. Moderate ph...
5 Simple Ways to Make a Healthy Pizza (Infographic)
4/15/15 7:00 a.m.
Maybe nothing’s more American than apple pie. But the pie we Americans really love is topped with tomatoe...