A RESCUED CASE OF ACUTE SUPERIOR MESENTERIC ARTERY EMBOLISM TREATED WITH PERCUTANEOUS TRANSCATHETER THROMBOASPIRATION

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  • 経カテーテル的血栓吸引療法が奏効し,救命した急性上腸間膜動脈塞栓症の1例

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Abstract

Superior mesenteric artery embolism remains a challenge to those involved in its diagnosis and treatment. We performed transcatheter thromboaspiration for acute superior mesenteric artery embolism and avoided unnecessary laparotomy. To the best of our knowledge, there have been only 15 cases of SMA thrombosis treated with per-catheteric thrombus aspiration procedure in Japan.<BR>A 69-year-old man was brought into the hospital by ambulance because of severe epigastralgia. Abdominal enhanced CT scan revealed a complete obstruction of the SMA. Five hours after the onset of this complaint, abdominal angiography was performed to dissolve and aspirate embolism through a catheter. After the treatment, abdominal pain was resolved. The patient recovered without laparotomy and was discharged on the 13th day after the treatment. In this case, percutaneous transcatheter thromboaspiration was useful for acute superior mesenteric artery embolism.

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