Role of conventional (catheter-based) angiography in a patient with acute, nonocclusive mesenteric ischemia
Conventional arteriography is considered the gold standard test for diagnosis and it also enables therapy with catheter-directed infusion of a vasodilator.
However, multidetector CT angiography is fast and noninvasive, and diagnostic sensitivity and specificity continues to improve with technological advances.
In a patient not clinically stable to undergo angiography or who is critically ill, rapid diagnosis with multidetector CT angiography and initiation of systemic intravenous pharmacotherapy may be beneficial.