Acute mesenteric ischemia: endovascular therapy

被引:20
作者
Demirpolat, Gulen [1 ]
Oran, Ismail
Tamsel, Sadik
Parildar, Mustafa
Memis, Ahmet
机构
[1] Kahramanmaras Sutcu Imam Univ, Fac Med, Dept Radiol, Kahramanmaras, Turkey
[2] Fac Med, Dept Radiol, Izmir, Turkey
来源
ABDOMINAL IMAGING | 2007年 / 32卷 / 03期
关键词
mesenteric ischemia; ischemic bowel disease; percutaneus intervention; stents; mesenteric arteries;
D O I
10.1007/s00261-006-9074-3
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Acute mesenteric ischemia (AMI) is an abdominal emergency with a high mortality. Prompt revascularization can prevent intestinal infarction and reduce mortality. We report three cases of acute occlusive mesenteric ischemia without signs of intestinal necrosis, which were successfully managed with endovascular interventions. Mechanical thrombus fragmentation was performed and underlying chronic stenoses were treated with stent implantation. All the patients had pain relief immediately after the procedure, and none of them required surgery for bowel resection. The patients remained symptom free during a follow-up of 12-16 months. We suggest that endovascular treatment is a feasible option in patients with AMI and can prevent intestinal infarction.
引用
收藏
页码:299 / 303
页数:5
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