Catheter directed thrombolysis in the treatment of early acute superior mesenteric artery embolization

VernacularTitle:导管接触性溶栓在急性肠系膜上动脉栓塞早期治疗中的应用价值
Author: Hui WANG ¹ ; Kun WANG ; Bin WANG ; Jian YU ; Zuolei SHI ; Guangxin LI
Author Information

1. 山东第一医科大学第一附属医院普外中心血管外科，济南　250014
Keywords: Mesenteric artery, superior; Embolism; Catheter directed thrombolysis
From: Chinese Journal of General Surgery 2021;36(10):770-773
CountryChina
Language:Chinese
Abstract: Objective:To evaluate catheter directed thrombolysis in the treatment of early acute superior mesenteric artery embolization.Methods:The clinical data of 19 cases of acute superior mesenteric artery embolization treated with catheter directed thrombolysis therapy in the First Affiliated Hospital of Shandong First Medical University from Aug 2015 to Jul 2020 was retrospectively analyzed.Results:Fifteen cases were treated successfully with catheter directed thrombolysis , the blood flow and intestinal function restored significantly. The condition of 4 patients worsened during catheter directed thrombolysis therapy. Among them, three cases of intestinal necrosis were later confirmed by exploratory laparotomy and they recovered well after enterectomy. One elderly patient unsuitable for laparotomy died.Conclusion:Catheter directed thrombolysis is effective in the treatment of acute superior mesenteric artery embolization in early stage without intestinal necrosis.