Endovascular Treatment of Acute Portal Vein Thrombosis Using Ultrasound-Accelerated Catheter-Directed Thrombolysis

被引：13

作者：

Abdel-Aal, Ahmed Kamel ^{[1
]}

Ezzeldin, Islam B. ^{[1
]}

Hamed, Maysoon Farouk ^{[1
]}

Ibrahim, Rafik Mohamed ^{[1
]}

Berry, Max ^{[1
]}

Underwood, Edgar S. ^{[1
]}

Saddekni, Souheil ^{[1
]}

机构：

[1] Univ Alabama Birmingham, Dept Radiol, Birmingham, AL 35249 USA

来源：

VASCULAR AND ENDOVASCULAR SURGERY | 2014年 / 48卷 / 7-8期

关键词：

portal vein thrombosis; ultrasound accelerated; mesenteric venous thrombosis; catheter directed; thrombolysis; MESENTERIC VENOUS THROMBOSIS; ANTICOAGULANT-THERAPY; FIBRINOLYSIS; ENHANCEMENT; DIAGNOSIS;

D O I：

10.1177/1538574414547087

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We report a case of extensive acute portal vein thrombosis (PVT) presenting with severe diffuse abdominal pain and impending small bowel infarction. The patient was successfully treated with ultrasound-accelerated catheter-directed thrombolysis (EKOS endowave system; Covidien, Mansfield, Massachusetts), which resulted in prompt recanalization of his portal vein (PV) and its tributaries. The patient eventually had ischemic stricture that necessitated bowel resection. However, we believe that our technique was successful in rapidly restoring the patency of the PV and its tributaries, and therefore, avoiding a life-threatening complication of more extensive bowel infarction. To our knowledge, the use of ultrasound-accelerated thrombolysis in treatment of PVT has not been previously described in the literature.

引用

页码：460 / 465

页数：6

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