Acute Superior Mesenteric Artery Embolism: Rapid Reperfusion with Hydrodynamic Thrombectomy and Pharmacological Thrombolysis

Masashi Tsuda, Mamoru Nakamura, Yasuo Yamada, Haruo Saito, Tadashi Ishibashi, Syouki Takahashi

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Purpose: To report a case of acute superior mesenteric artery (SMA) embolism successfully treated with hydrodynamic thrombectomy and pharmacological thrombolysis. Case Report: A 67-year-old man was admitted to the hospital with acute severe abdominal pain. Selective angiography via a femoral puncture revealed a complete embolic occlusion distal to the first jejunal branch of the SMA. Hydrodynamic thrombectomy resolved the severe abdominal pain of the patient in approximately 10 minutes after the start of thrombectomy. Local continuous thrombolysis with urokinase resulted in near complete restoration of the mesenteric flow after 24 hours. The patient made an uneventful recovery and continues to do well on warfarin therapy 8 months after treatment; he has shown no evidence of malabsorption. Conclusions: Although insertion of the device into the SMA via a femoral puncture is a difficult approach, we propose that hydrodynamic thrombectomy followed by local thrombolysis is a useful treatment for acute superior mesenteric artery embolism.

Original languageEnglish
Pages (from-to)1015-1018
Number of pages4
JournalJournal of Endovascular Therapy
Volume10
Issue number5
DOIs
Publication statusPublished - 2003 Oct 1

Keywords

  • Acute mesenteric ischemia
  • Embolism
  • Hydrodynamic thrombectomy
  • Superior mesenteric artery
  • Thrombolysis
  • Thrombus
  • Urokinas

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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