Abstract
A case of acute superior mesenteric artery embolism treated with percutaneous thrombus aspiration is described. A 63-year-old man with chronic atrial fibrillation was admitted to the hospital with progressive abdominal pain. Computed tomography angiography revealed an occlusion of the distal part of the superior mesenteric artery. The patient was effectively treated using transaxillary percutaneous mechanical thrombectomy using a 6F Aspirex thrombectomy catheter.
References
McKinsey JF, Gewertz BL (1997) Acute mesenteric ischemia. Surg Clin North Am 77:307–318
Gunduz A, Turedi S, Mentese A et al (2008) Ischemia-modified albumin in the diagnosis of acute mesenteric ischemia: a preliminary study. Am J Emerg Med 26(2):202–205
Cho JS, Carr JA, Jacobsen G et al (2002) Long-term outcome after mesenteric artery reconstruction: a 37-year experience. J Vasc Surg 35:453–460
Bingol H, Zeybek N, Cingöz F et al (2004) Surgical therapy for acute superior mesenteric artery embolism. Am J Surg 188(1):68–70
McBride KD, Gaines PA (1994) Thrombolysis of a partially occluding superior mesenteric artery thromboembolus by infusion of streptokinase. Cardiovasc Interv Radiol 17:164–166
Kawarada O, Sonomura T, Yokoi Y (2006) Direct aspiration using rapid-exchange and low-profile device for acute thrombo-embolic occlusion of the superior mesenteric artery. Catheter Cardiovasc Interv 68(6):862–866
Nishida A, Fukui K (2005) Transcatheter treatment of thromboembolism in the superior mesenteric artery. N Engl J Med 353(4):e4
Simo G, Echenagusia AJ, Camunez F et al (1997) Superior mesenteric arterial embolism: local fibrinolytic treatment with urokinase. Radiology 204:775–779
Badiola CM, Scoppetta DJ (1997) Rapid revascularization of an embolic superior mesenteric artery occlusion using pulse-spray pharmacomechanical thrombolysis with urokinase. AJR Am Roentgenol 169:55–57
Rousseau H, Sapoval M, Ballini P et al (1997) Percutaneous recanalization of acutely thrombosed vessels by hydrodynamic thrombectomy (Hydrolyser). Eur Radiol 7:935–941
Ogihara S, Yamamura S, Tomono H et al (2003) Superior mesenteric arterial embolism: treatment by trans-catheter thrombo-aspiration. J Gastroenterol 38:272–277
Morgan R, Belli AM (2002) Percutaneous thrombectomy: a review. Eur Radiol 12:205–217
Kucher N, Windecker S, Banz Y et al (2005) Percutaneous catheter thrombectomy device for acute pulmonary embolism: in vitro and in vivo testing. Radiology 236:852–858
Eid-Lidt G, Gasper J, Sandoval J et al (2008) Combined clot fragmentation and aspiration in patients with acute pulmonary embolism. Chest 134(1):54–60
Acknowledgments
The authors thank Dr. Christoph L. Zollikofer for his assistance and help in preparation of the manuscript. This case was presented at CIRSE 2008.
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The authors declare that they have no conflict of interest.
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Popovič, P., Kuhelj, D. & Bunc, M. Superior Mesenteric Artery Embolism Treated with Percutaneous Mechanical Thrombectomy. Cardiovasc Intervent Radiol 34 (Suppl 2), 67–69 (2011). https://doi.org/10.1007/s00270-010-9921-z
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DOI: https://doi.org/10.1007/s00270-010-9921-z