A new approach for acute embolus occlusion of the superior mesenteric artery.
Acute embolus occlusion of the superior mesenteric artery (SMA) either demonstrates a poor prognosis, or forces the patients to endure miserable postoperative dietary lives. Recently, we developed a new successful technique which reduced the length of the intestinal segment that had to be removed. The technique was as follows: (1) the distal end of the SMA was ligated to avoid perfusion of the necrotic segment, and (2) a Fogarty balloon catheter was inserted from the distal end of the SMA and then passed proximally to remove any remaining clots. Using the above-described technique on 3 cases from 1992 to 1994, we were thus able to shorten the length of the intestine that had to be removed and thereby greatly improve the patients' postoperative dietary lives.
Mimori
K
K
Department of Surgery, Kyushu University, Beppu, Japan.
Mori
M
M
Morinaga
K
K
Sugimachi
K
K
D000368:Aged; D000369:Aged, 80 and over; D001157:Arterial Occlusive Diseases / Q000628:therapy*; D002404:Catheterization; D004617:Embolism / Q000628:therapy*; D005260:Female; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D008026:Ligation; D008297:Male; D017538:Mesenteric Artery, Superior; D012189:Retrospective Studies; D017131:Thrombectomy / Q000379:methods
D006493:Heparin