title: Successful local fibrinolytic treatment and balloon angioplasty in superior mesenteric arterial embolism: a case report and literature review.
abstract: 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.
authors.affiliation: Department of Gastroenterology, Fundeni University Hospital, Bucharest, Romania. George.Calin@mail.tju.edu
authors.forename: George Adrian
authors.initials: GA
authors.lastname: Calin
authors.forename: Steliana
authors.initials: S
authors.lastname: Calin
authors.forename: Radu
authors.initials: R
authors.lastname: Ionescu
authors.forename: Marian
authors.initials: M
authors.lastname: Croitoru
authors.forename: Mircea
authors.initials: M
authors.lastname: Diculescu
authors.forename: Alexandru
authors.initials: A
authors.lastname: Oproiu
mesh_terms: 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
chemical_list: D013300:Streptokinase