Treatment of superior mesentery arterial embolism with transcatheterizing thrombolysis / 介入放射学杂志

ABSTRACT

Objective To discuss the treatment of superior mesenteric arterial thrombo-embolism through superior mesenteric arterial angiography and transcatheterizing thrombolysis. Methods After diagnosis of superior mesenteric arterial thrombo-embolism through percutaneous transluminal angiography, the embolism was cleared out and then the inner tip of catheter was implanted within embolus for slow continuously thrombolysis with the outer tip of catheter connected to the infusion pump. Result Four cases succeeded with thrombolysis; 3 cases were performed with partial small intestinal excision with necrosis. Two cases healed. One case died of heart failure postoperatively and another case died of massive digestive tract hemorrhage. Conclusions Angiography can help to confirm the position of superior mesentery arterial thrombosis and the extent of intestinal ischemia. Early intrathrombus catheterization for clear out and thrombolysis can obtain satifactory prognosis.