title: Stab injury of the superior mesenteric artery with life threatening bleeding - endovascular treatment with an unusual technique.
abstract: Endovascular microcoil embolization of the superior mesenteric artery (SMA) main trunk is not currently employed as a treatment for penetrating injury to the SMA in hemodynamically instable patients. Immediate laparotomy is the initial gold standard therapy. We report a case of successful SMA microcoil embolization with preservation of mesenteric perfusion by an unusual endovascular technique.
authors.affiliation: Department of Vascular and Endovascular Surgery, Ruprecht-Karls University Hospital, Heidelberg, Germany. derdar.demirel@med.uni-heidelberg.de
authors.forename: Serdar
authors.initials: S
authors.lastname: Demirel
authors.forename: C
authors.initials: C
authors.lastname: Winter
authors.forename: B
authors.initials: B
authors.lastname: Rapprich
authors.forename: H
authors.initials: H
authors.lastname: Weigand
authors.forename: G
authors.initials: G
authors.lastname: Gamstätter
mesh_terms: D000293:Adolescent; D004621:Embolization, Therapeutic / Q000295:instrumentation; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology; D013152:Splanchnic Circulation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014951:Wounds, Stab / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*