LOCAL FIBRINOLYSIS FOR SUPERIOR MESENTERIC-ARTERY THROMBOEMBOLISM

被引：28

作者：

BOYER, L

DELORME, JM

ALEXANDRE, M

BOISSIER, A

GIMBERGUES, P

GLANDDIER, G

VIALLET, JF

机构：

[1] Service de Radiologie, Centre Hospitalier Universitaire, Clermont-Ferrand Cedex, F-63003

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 1994年 / 17卷 / 04期

关键词：

ACUTE MESENTERIC ISCHEMIA; LOCAL FIBRINOLYSIS; SUPERIOR MESENTERIC ARTERY EMBOLUS;

D O I：

10.1007/BF00571538

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 66-year-old man with atrial fibrillation was referred soon after developing left lower limb and abdominal pain with rectal bleeding. An immediate flush aortogram showed embolic occlusion of the left distal superficial femoral artery and superior mesenteric artery (SMA), 3 cm from its ostium. Recombinant tissue plasminogen activitor (rtPA) 40 mg was selectively instilled in the SMA in two boluses. Abdominal symptoms resolved within 48 h, and complete recanalization of the SMA was shown on angiography. Exploratory laparotomy after 72 h showed a normal small bowel and right colon, and was completed by femoropopliteal embolectomy. Six months later, the patient remained asymptomatic.

引用

页码：214 / 216

页数：3

共 13 条

[1]

Bigot J.M., Chermet J., Sterin P., Le grêle ischémique, Traité de radiodiagnostic, pp. 213-234, (1982)

[2]

Bakal C.W., Sprayregen S., Wolf E.I., Radiology in intestinal ischemia. Angiographic diagnosis and management, Surg Clin North Am, 72, 1, pp. 125-141, (1992)

[3]

Clark R.A., Gallant T.E., Acute mesenteric ischemia: Angiographic spectrum, AJR, 142, pp. 555-562, (1984)

[4]

Mathias K., Angiographic management of intestinal ischemia, Interventional radiology, pp. 645-652, (1990)

[5]

Sicard C., Brenot R., Galtier R., Weiller M., Hussonnois C., David M., Embolie mesentérique supérieure. A propos de deux patients traités avec succès par la streptokinase, J Maladies Vasculaires, 9, pp. 155-158, (1984)

[6]

Simonetti G., Lupattelli L., Urigo F., Barzi F., Mosca S., Maspes F., Guazzaroni M., La radiologia interventistica nel trattamento dell'ischemia mesenterica acuta e cronica, Radiol Med, 84, pp. 98-105, (1992)

[7]

Jamieson A.C., Thomas R.J.S., Cade J.F., Lysis of a superior mesenteric artery embolus following local infusion of streptokinase and heparin, Aust N Z J Surg, 49, 3, pp. 355-356, (1979)

[8]

Rodde A., Peiffert B., Bazin C., Aein D., Regent D., Mathieu P., Fibrinolyse intra-artérielle d'une embolie de l'artère mésentérique supérieure, J Radiol, 72, 4, pp. 239-242, (1991)

[9]

Bertal A., Jaafar S., Winants D., Simon J.P., Ischémie mésentérique segmentaire d'origine embolique et fibrinolyse, Radiol J Cepur, 12, 2, pp. 43-44, (1992)

[10]

Theiss W., Gullotta U., Bonke S., Behandlung einer Mesenterialarterienembolie durch hochdosierte, lokale Urokinasegabe, VASA, 11, 3, pp. 213-217, (1982)

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