Percutaneous mesenteric venous thrombectomy and thrombolysis: successful treatment followed by liver transplantation.
Mesenteric vein thrombosis (MVT) is a rare cause of intestinal ischemia. Because of its nonspecific symptoms, diagnosis is often delayed. We describe a patient with liver cirrhosis who developed acute MVT while waiting for liver transplantation. Surgical intervention carried a high risk because of her underlying cirrhosis. Mesenteric venous thrombectomy and thrombolysis were performed with an AngioJet (Possis Medical, Minneapolis, MN) thrombectomy device and streptokinase infusion through transjugular route. The patient subsequently received an orthotopic liver transplant. We also present a review of the literature about the occurrence and treatment options for MVT.
Ryu
R
R
Department of Interventional Radiology, University of Colorado Health Sciences Center, Denver, Colorado, USA.
Lin
T C
TC
Kumpe
D
D
Krysl
J
J
Durham
J D
JD
Goff
J S
JS
Everson
G T
GT
Kam
I
I
Wachs
M
M
Russ
P
P
Shrestha
R
R
Trouillot
T E
TE
Bilir
B M
BM
D000368:Aged; D003131:Combined Modality Therapy; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications / Q000601:surgery*; D016031:Liver Transplantation; D008642:Mesenteric Veins / Q000000981:diagnostic imaging; D010690:Phlebography; D013300:Streptokinase / Q000627:therapeutic use; D017131:Thrombectomy / Q000379:methods; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
D005343:Fibrinolytic Agents; D013300:Streptokinase