title: Percutaneous transhepatic treatment of symptomatic mesenteric venous thrombosis.
abstract: 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.
authors.affiliation: Department of Radiology, Louisiana State University, New Orleans 70112, USA. jeloper@lsuhsc.edu
authors.forename: Jorge E
authors.initials: JE
authors.lastname: Lopera
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Correa
authors.forename: Augusto
authors.initials: A
authors.lastname: Brazzini
authors.forename: Bahri
authors.initials: B
authors.lastname: Ustunsoz
authors.forename: Sayai
authors.initials: S
authors.lastname: Patel
authors.forename: Akkawat
authors.initials: A
authors.lastname: Janchai
authors.forename: Wilfrido
authors.initials: W
authors.lastname: Castaneda-Zuniga
mesh_terms: 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*
chemical_list: D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator