Percutaneous transhepatic treatment of symptomatic mesenteric venous thrombosis.
Three patients were seen with acute mesenteric venous thrombosis. With a transhepatic access, percutaneous pharmacologic thrombolysis was performed in one patient with extensive thrombosis of the portal and mesenteric veins, resulting in complete thrombolysis of the portal vein and partial thrombolysis of the superior mesenteric vein. In two patients with focal thrombosis, the use of mechanical devices achieved complete thrombolysis. Percutaneous thrombolysis of portal and mesenteric veins with a transhepatic approach, followed by coil embolization, is a promising endovascular technique for treatment of symptomatic acute mesenteric venous thrombosis.
Lopera
Jorge E
JE
Department of Radiology, Louisiana State University, New Orleans 70112, USA. jeloper@lsuhsc.edu
Correa
Gonzalo
G
Brazzini
Augusto
A
Ustunsoz
Bahri
B
Patel
Sayai
S
Janchai
Akkawat
A
Castaneda-Zuniga
Wilfrido
W
D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000628:therapy*; D008642:Mesenteric Veins; D008875:Middle Aged; D010960:Plasminogen Activators / Q000627:therapeutic use; D015912:Thrombolytic Therapy / Q000379:methods; D014057:Tomography, X-Ray Computed; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use; D020246:Venous Thrombosis / Q000628:therapy*
D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator