Successful local fibrinolytic treatment and balloon angioplasty in superior mesenteric arterial embolism: a case report and literature review.
We present the case of a 72-year-old man with atrial fibrillation who developed an embolic occlusion of the superior mesenteric artery. He was successfully treated with local fibrinolysis using streptokinase associated with angioplasty. Such local treatments without the need of surgery are very rarely reported in the literature because of the great difficulty in selecting patients without intestinal necrosis, but represent an important option in the algorithm for the management of acute mesenteric ischemia. The patient was in good condition without recurrent embolism during the six months follow-up.
Calin
George Adrian
GA
Department of Gastroenterology, Fundeni University Hospital, Bucharest, Romania. George.Calin@mail.tju.edu
Calin
Steliana
S
Ionescu
Radu
R
Croitoru
Marian
M
Diculescu
Mircea
M
Oproiu
Alexandru
A
D000368:Aged; D002404:Catheterization; D004617:Embolism / Q000000981:diagnostic imaging / Q000188:drug therapy*; D006801:Humans; D007261:Infusions, Intra-Arterial; D007511:Ischemia / Q000000981:diagnostic imaging / Q000188:drug therapy*; D007583:Jejunum / Q000098:blood supply*; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000188:drug therapy*; D011859:Radiography; D013300:Streptokinase / Q000008:administration & dosage*; D015912:Thrombolytic Therapy; D016896:Treatment Outcome
D013300:Streptokinase