Neuroanesthesia & neurocritical care
Prognosis of critically ill patients with occlusive arterial acute mesenteric ischemia: the 5-year French experience of a dedicated mesenteric stroke center SURVI
Authors' conclusion
We report 28-day and one-year outcomes of critically ill patients with OAAMI, suggesting that ISC management based on a life- and gut-saving strategy management may improve prognosis.
Study context
- Population
- Intensive Care Unit (ICU) patients with occlusive arterial acute mesenteric ischemia (OAAMI) managed in the first French intestinal stroke center, 2016–2021
- Participants
- 133 patients
- Outcome
- Risk factors for 28-day and one-year mortality
- Follow-up
- 28 days and one year
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Mortality and its risk factors
28-day mortality
33.1%
One-year mortality
46.6%
28-day mortality with three risk factors
75%
One-year mortality with three risk factors
100%
Observational data: associations, not effects.
Secondary outcomes
Initial digestive and vascular management
- Emergency laparotomy
- 108 (81.2%)
- Extensive intestinal necrosis beyond any therapeutic resource
- 14 (10.5%)
- Segmental intestinal necrosis requiring resection
- 45 (33.8%)
- Arterial revascularization
- 105 (78.9%)
Intestinal failure and parenteral nutrition
- Intestinal failure among patients discharged alive from ICU
- 59.8%
- Survivors still requiring parenteral nutrition at one year
- 18.3%
Original publication
Prognosis of critically ill patients with occlusive arterial acute mesenteric ischemia: the 5-year French experience of a dedicated mesenteric stroke center SURVI. Anaesth Crit Care Pain Med. Published 29 October 2025. doi:10.
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