Open surgical mesenteric artery repair should only be used in patients with substantial physiologic reserve and who have unfavourable mesenteric
lesions, failed percutaneous mesenteric artery stenting or multiple recurrences of in-stent stenosis/occlusion. PMAS in CMI patients is evolved from “bridge to surgery” to nowadays first choice treatment and “bridge to repeated PMAS” in almost all patients with CMI.
Blauw JLT, et al 2017