<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0003-3170</journal-id>
<journal-title><![CDATA[Angiología]]></journal-title>
<abbrev-journal-title><![CDATA[Angiología]]></abbrev-journal-title>
<issn>0003-3170</issn>
<publisher>
<publisher-name><![CDATA[Arán Ediciones S.L.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0003-31702024000300003</article-id>
<article-id pub-id-type="doi">10.20960/angiologia.00555</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto clínico preliminar de la implementación de un algoritmo terapéutico para la isquemia mesentérica aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[Preliminary clinical impact on the implementation of a therapeutic algorithm for acute mesenteric ischemia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gamé-Figueroa]]></surname>
<given-names><![CDATA[Victoria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yugueros-Castellnou]]></surname>
<given-names><![CDATA[Xavier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mestres-Alomar]]></surname>
<given-names><![CDATA[Gaspar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Turrado-Rodríguez]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales]]></surname>
<given-names><![CDATA[Xavier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Riambau]]></surname>
<given-names><![CDATA[Vincent]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínic Barcelona Instituto Clínico Cardiovascular Servicio de Angiología, Cirugía Vascular y Endovascular]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínic Barcelona Instituto Clínico de Enfermedades Digestivas y Metabólicas Servicio de Cirugía General y Digestiva]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>76</volume>
<numero>3</numero>
<fpage>131</fpage>
<lpage>139</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0003-31702024000300003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0003-31702024000300003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0003-31702024000300003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: la isquemia mesentérica aguda (IMA) por oclusión de la arteria mesentérica superior (AMS) es una patología infrecuente, de alta mortalidad y sin un manejo estandarizado.  Objetivo: analizar los resultados en nuestro centro tras la implementación de un algoritmo terapéutico propio multidisciplinar, con la implicación del equipo de cirugía vascular.  Métodos: estudio retrospectivo de todos los casos de IMA tratados entre 2017 y 2022. El tratamiento se acordó en un equipo multidisciplinar que incluye cirugía vascular, cirugía general y angiorradiología. Se analizaron los tiempos de demora (hasta el diagnóstico y desde este a la intervención), el procedimiento de revascularización mesentérica, los procedimientos accesorios realizados, la necesidad de reintervención vascular y la mortalidad intrahospitalaria.  Resultados: se registraron un total de 18 IMA (13 de causa embólica y 5 trombótica). En todos los casos se realizó algún procedimiento de revascularización, en su mayoría embolectomías (78 %). Un 61 % requirió resección intestinal asociada (mediana: 123 cm; IQR: 66 cm). A pesar de una revascularización efectiva en la mayoría de los casos (solo un 17 % requirió reintervención vascular), la tasa de mortalidad hospitalaria fue del 61 %. En los fallecidos se observó una tendencia a mayores tiempos de demora al diagnóstico (9,6 horas frente a 4,3 horas, p = 0,221) y al tratamiento (6,3 horas frente a 4,2 horas, p = 0,298).  Conclusiones: el uso de un algoritmo terapéutico específico para la IMA ha conseguido buenas tasas de revascularización efectiva, aunque persiste una elevada tasa de mortalidad, probablemente relacionada con la demora diagnóstica y terapéutica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: acute mesenteric ischemia (AMI) due to occlusion of the superior mesenteric artery is an infrequent pathology, with high mortality and without standardized management.  Objective: analyze the results in our center after the creation of our own multidisciplinary therapeutic algorithm with the involvement of the Vascular Surgery team  Methods: retrospective single-center study of all the cases of AMI treated between 2017-2022, where all treatments were agreed by a multidisciplinary team that includes Vascular Surgery, General Surgery and Angioradiology. Delay times (until diagnosis and intervention), mesenteric revascularization procedure, adjuvant procedures performed, the need for vascular reintervention as well as in-hospital mortality were analyzed.  Results: 18 cases of AMI were registered (13 of embolic etiology and 5 thrombotic). In all cases, a revascularization procedure was performed, mostly (78 %) embolectomies. 61 % required associated intestinal resection (median, 123 cm; IQR, 66 cm). Despite effective revascularization in most cases (only 17 % required reintervention), hospital&#8217;s mortality rate was 61 %, with longer delays to diagnosis in the deceased (9.6 hours vs. 4.3 hours, p = 0.221) and treatment (6.3 hours vs. 4.2 hours, p = 0.298).  Conclusions: the use of a specific therapeutic algorithm for AMI has achieved good rates of effective revascularization, although a high mortality rate persists, probably related to the diagnostic and therapeutic delay.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Isquemia mesentérica]]></kwd>
<kwd lng="es"><![CDATA[Oclusión arterial mesentérica]]></kwd>
<kwd lng="es"><![CDATA[Embolectomía]]></kwd>
<kwd lng="es"><![CDATA[Procedimientos endovasculares]]></kwd>
<kwd lng="en"><![CDATA[Mesenteric ischemia]]></kwd>
<kwd lng="en"><![CDATA[Mesenteric artery occlusion]]></kwd>
<kwd lng="en"><![CDATA[Embolectomy]]></kwd>
<kwd lng="en"><![CDATA[Endovascular procedures]]></kwd>
</kwd-group>
</article-meta>
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