Percutaneous Mechanical Thrombectomy Treatment of Acute Superior Mesenteric Artery Embolism

Z Zhang; X Chen; R Zhu

doi:10.1016/j.ejvssr.2016.12.002

Percutaneous Mechanical Thrombectomy Treatment of Acute Superior Mesenteric Artery Embolism

EJVES Short Rep. 2017 Jan 10:34:17-20. doi: 10.1016/j.ejvssr.2016.12.002. eCollection 2017.

Authors

Z Zhang¹, X Chen¹, R Zhu¹

Affiliation

¹ Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong'an Road, Xicheng District, Beijing 100050, China.

Abstract

Objective/background: This report presents a superior mesenteric artery (SMA) embolism managed by percutaneous mechanical thrombectomy (PMT).

Methods: A 61 year old woman diagnosed with SMA embolism was admitted. Emboli were found in the middle and distal segments of the SMA on abdominal computed tomography angiography. Under local anaesthesia, a 6 F Rotarex system was used to remove the emboli via left brachial artery access. Emboli were successfully removed and patency was restored to the SMA and its branches.

Results: Post-operatively, the patient's symptoms were significantly relieved. No post-operative complications were observed and no discomfort was documented during follow-up.

Conclusion: Endovascular treatment of SMA embolism using PMT is a feasible and alternative option.

Keywords: Acute mesenteric ischaemia; Embolism; Endovascular treatment; Percutaneous mechanical thrombectomy; Superior mesenteric artery.

Publication types

Case Reports