Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
Endovascular management of acute and chronic arterial mesenteric ischaemia: A narrative review of evidence informing interventional radiology treatment
Conor Keady, Sara Azhari Mohamed, Jack Bell, Caroline Crotty, Andrew Patton, Daniel O’Regan, Aoife Keeling, Andrew McGrath, Mark Given, Douglas Mulholland, Mark Sheehan, Department of Diagnostic and Interventional Radiology, Beaumont Hospital, Dublin D09 V2N0, Ireland
Conor M O’Malley, Department of Medicine, Sligo University Hospital, Sligo F91 H684, Ireland
Co-first authors: Conor Keady and Conor M O’Malley.
Author contributions: Keady C and O’Malley CM contributed equally to this work and conceived the original idea, conducted the primary literature search and narrative review, synthesised the selected evidence, and drafted the manuscript, thereby qualifying as co-first authors of the paper; Mohamed SA, Crotty C, Bell J, Patton A and O’Regan D performed a secondary literature review and data synthesis, and critically appraised the manuscript; Keeling A, McGrath A, Given M, Mulholland D and Sheehan M were the senior authors and contributed to the study design, manuscript structure and performed a final critical appraisal of the manuscript; all authors read and approved the final manuscript.
AI contribution statement: The authors declare that the manuscript was not prepared using AI tools.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to report.
Corresponding author: Conor Keady, Department of Diagnostic and Interventional Radiology, Beaumont Hospital, Beaumont Road, Beaumont, Dublin D09 V2N0, Ireland.
Received: July 1, 2026
Revised: October 8, 2026
Accepted: October 20, 2026
Published online: October 28, 2026
Processing time: 122 Days and 3.9 Hours
Revised: October 8, 2026
Accepted: October 20, 2026
Published online: October 28, 2026
Processing time: 122 Days and 3.9 Hours
Core Tip
Core Tip: Mesenteric ischaemia is a potentially life-threatening vascular disorder that remains difficult to diagnose and manage, presenting either as an acute surgical emergency or as a cause of chronic, debilitating abdominal symptoms. Advances in imaging and endovascular therapy have transformed its management, positioning interventional radiology at the centre of diagnosis and treatment. This narrative review examines the evidence informing current interventional radiology practice in the management of both acute and chronic mesenteric ischaemia.