Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2017 Jan 10:34:17-20.
doi: 10.1016/j.ejvssr.2016.12.002. eCollection 2017.

Percutaneous Mechanical Thrombectomy Treatment of Acute Superior Mesenteric Artery Embolism

Z Zhang  1 , X Chen  1 , R Zhu  1
Affiliations
Case Reports

Percutaneous Mechanical Thrombectomy Treatment of Acute Superior Mesenteric Artery Embolism

Z Zhang et al. EJVES Short Rep. .

Abstract

Objective/background: This report presents a superior mesenteric artery (SMA) embolism managed by percutaneous mechanical thrombectomy (PMT).

Methods: A 61 year old woman diagnosed with SMA embolism was admitted. Emboli were found in the middle and distal segments of the SMA on abdominal computed tomography angiography. Under local anaesthesia, a 6 F Rotarex system was used to remove the emboli via left brachial artery access. Emboli were successfully removed and patency was restored to the SMA and its branches.

Results: Post-operatively, the patient's symptoms were significantly relieved. No post-operative complications were observed and no discomfort was documented during follow-up.

Conclusion: Endovascular treatment of SMA embolism using PMT is a feasible and alternative option.

Keywords: Acute mesenteric ischaemia; Embolism; Endovascular treatment; Percutaneous mechanical thrombectomy; Superior mesenteric artery.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Contrast enhanced abdominal computed tomography angiography revealed a filling defect in the middle and distal segments of the superior mesenteric artery.
Figure 2
Figure 2
Angiography showed an embolism of the superior mesenteric artery.
Figure 3
Figure 3
Operating with a 6 F Rotarex system.
Figure 4
Figure 4
After the procedure, angiography showed that the original thrombus was completely removed.
Figure 5
Figure 5
Abdominal three dimensional reconstruction of the superior mesenteric artery and its branches indicated blood flow patency.
See this image and copyright information in PMC

References

    1. Bradbury A.W., Brittenden J., McBride K., Ruckley C.V. Mesenteric ischaemia: a multidisciplinary approach. Br J Surg. 1995;82:1446–1459. - PubMed
    1. Acosta S. Epidemiology of mesenteric vascular disease: clinical implications. Semin Vasc Surg. 2010;23:4–8. - PubMed
    1. Stanley J.C. Mesenteric arterial occlusive and aneurysmal disease. Cardiol Clin. 2002;20:611–622. - PubMed
    1. Inderbitzi R., Wagner H.E., Seiler C., Stirnemann P., Gertsch P. Acute mesenteric ischaemia. Eur J Surg. 1992;158:123–126. - PubMed
    1. Yun W.S., Lee K.K., Cho J., Kim H.K., Huh S. Treatment outcome in patients with acute superior mesenteric artery embolism. Ann Vasc Surg. 2013;27:613–620. - PubMed

Publication types

LinkOut - more resources