Percutaneous Aspiration Embolectomy Using Guiding Catheter for the Superior Mesenteric Artery Embolism.
10.3348/kjr.2015.16.4.736
- Author:
Kyu Sung CHOI
1
;
Ji Dae KIM
;
Hyo Cheol KIM
;
Sang Il MIN
;
Seung Kee MIN
;
Hwan Jun JAE
;
Jin Wook CHUNG
Author Information
1. Department of Radiology, Seoul National University College of Medicine, Institute of Radiation Medicine, Seoul National University Medical Research Center, and Clinical Research Institute, Seoul National University Hospital, Seoul 110-744, Korea. angioint
- Publication Type:Brief Communication ; Evaluation Studies
- Keywords:
Superior mesenteric artery;
Embolism;
Aspiration embolectomy
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Angiography/methods;
Embolectomy/*methods;
Embolism/complications/radiography/*surgery;
Female;
Humans;
Male;
Mesenteric Artery, Superior/radiography/*surgery;
Mesenteric Vascular Occlusion/etiology/radiography/*surgery;
Middle Aged;
Retrospective Studies;
Suction/instrumentation/methods;
Thrombolytic Therapy/methods;
Tomography, X-Ray Computed;
Treatment Outcome;
Urokinase-Type Plasminogen Activator/administration & dosage;
Vascular Access Devices
- From:Korean Journal of Radiology
2015;16(4):736-743
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To evaluate the technical feasibility and clinical outcome of percutaneous aspiration embolectomy for embolic occlusion of the superior mesenteric artery (SMA). MATERIALS AND METHODS: Between January 2010 and December 2013, 9 patients with embolic occlusion of the SMA were treated by percutaneous aspiration embolectomy in 2 academic teaching hospitals. The aspiration embolectomy procedure was performed with the 6-Fr and 7-Fr guiding catheter. Thrombolysis was performed with urokinase using a multiple-sidehole infusion catheter. The clinical outcome was investigated retrospectively. RESULTS: Superior mesenteric artery occlusion was initially diagnosed by computed tomography (CT) in all patients, and all patients had no obvious evidence of bowel infarction on CT scan. Percutaneous aspiration embolectomy was primarily performed in 6 patients, and thrombolysis was initially performed in 3 patients. In 3 patients who received primary thrombolysis, percutaneous aspiration was undertaken because the emboli were resistant to urokinase. Complete angiographic success was achieved in 6 patients and partial angiographic success was accomplished in 3 patients. One patient underwent bowel resection. One patient died of whole bowel necrosis and sepsis, and 8 patients survived without complications. CONCLUSION: Percutaneous aspiration embolectomy is a useful tool in recanalization of embolic occlusion of the SMA in select patients.
