Website is intended for physicians
Search:

 

 

Abstract:

The article presents a case report of endovascular treatment of acute superior mesenteric artery occlusion in a patient with long reception of new oral anticoagulants. Despite the low incidence of this condition (3-5%), mortality in patients with this pathology is extremely high (80-85%). In this case combination of percutaneous mechanical thrombaspiration from superior mesenteric artery by coronary thrombaspiration system and intravenous GP IIb/IIIa antagonists demonstrated satisfactory outcome. Endovascular interventions proved to be effective, minimally invasive and safe technique in patients with acute mesenteric ischemia in superior mesenteric artery system.

 

References

1.      Akberov RF, Sharafeev AZ, Mikhailov MK. Progressive multifocal atherosclerosis: etiology, clinical and radiation diagnosis, modern aspects of treatment. Kazan: Idel-Press. 2008: 214 [In Russ].

2.      Lyubskiy AS. Thrombectomy for superior mesenteric artery thrombosis. Hirurgiya. 1964; 11: 118-121 [In Russ].

3.      Savelyev VS, Spiridonov IV. Acute disorders of mesenteric circulation М.: Medicine; 1979: 232 [In Russ].

4.      Arthurs ZM, Titus J, Bannazadeh M. et al. A comparison of endovascular revascularization with traditional therapy for the treatment of acute mesenteric ischemia. J Vasc Surg. 2011; 53 (3): 698-704.

5.      Klas AA. Embolectomy in acute mesenteric occlusion. Ann Surg. 1951; 134: 913-917.

6.      Shaw RS, Maynard EP Acute and chronic thrombosis of the mesenteric arteries associated with malabsorption: A report of two cases successfully treated by thromboendarterectomy. N Engl J Med. 1958; 258 (18): 874-878.

7.      Acosta S. Surgical management of peritonitis secondary to acute superior mesenteric artery occlusion. World J Gastroenterol. 2014; 20(29): 9936-9941.

8.      Revesz ES. Acute mesenteric ischemia: analysis of cases admitted to a hospital during 10 years (20012010). OrvHetil. 2012; 153(36): 1424-1432.

9.      Corcos O, Castier Y Sibert A et al. Effects of a multimodal management strategy for acute mesenteric ischemia on survival and intestinal failure. Clin Gastroenterol Hepatol. 2013; 11 (2): 158-165.

10.    Furrer J, Gruntzig A, Kugelmeier J et al. Treatment of abdominal angina with percutaneous dilatation of an arteria mesenterica superior stenosis. Cardiovasc Intervent Radiol. 1980; 3(1):43-44.

11.    Khripun AI, Mironkov AB, Pryamikov AD. et al. Endovascular surgery in the treatment of superior mesenteric artery acute occlusion (literature review). Diagnosticheskaya iinterventsionnaya radiologiya. 2014; 8 (3): 6771 [In Russ].

12.    Shipovskiy VN, Tsitsiashvili MSh, Khuan Ch. и др. Rheolytic thrombectomy and stenting of the superior mesenteric artery in acute mesenteric thrombosis (clinical observation). Angiologiya i sosudistaya khirurgiya. 2010; 16(3): 49-54 [In Russ].

13.    Kuhelj D, Kavcic P, Popovic P Percutaneous mechanical thrombectomy of superior mesenteric artery embolism. Radiol Oncol. 2013; 47(3): 239-243.

14.    Cortese B, Limbruno U. Acute mesenteric ischemia: primary percutaneous therapy. Catheter CardiovascInterv. 2010; 75(2): 283-285.

ANGIOLOGIA.ru (АНГИОЛОГИЯ.ру) - портал о диагностике и лечении заболеваний сосудистой системы