Background
Acute mesenteric ischemia (AMI) is an abdominal emergency caused by: embolism (40-50%), with Superior Mesenteric Artery (SMA) thrombosis (20-25%), mesenteric venous thrombosis (5%) and non occlusive mesenteric ischemia (20%). The mortality rate is high and ranges from 64 to 93%.
Methods
We present a case of a 75-year-old patient with acute occlusive mesenteric ischemia that was successfully treated with endovascular intervention.
Angiography revealed high-grade stenosis of the proximal tract of the SMA. Immediate option for endovascular therapy was made, and a MARIS self-expandable 6x40 mm stent was positioned. The patient was discharged 2 days after with full recovery from the symptoms.
Results
Control angiography showed the correct apposition of the stent and regular flow inside. The patient was symptom free 12 months later.
Conclusions
We suggest that the endovascular technique is a valid option in patients with AMI preventing intestinal infarction.
A) Preoperative angiography. B) Angiography with stent apposition
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This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Fiengo, L., Paciotti, C., Patrizi, G. et al. Endovascular repair for acute mesenteric ischemia: case report. BMC Geriatr 11 (Suppl 1), A17 (2011). https://doi.org/10.1186/1471-2318-11-S1-A17
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DOI: https://doi.org/10.1186/1471-2318-11-S1-A17