Stab injury of the superior mesenteric artery with life threatening bleeding - endovascular treatment with an unusual technique.
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.
Demirel
Serdar
S
Department of Vascular and Endovascular Surgery, Ruprecht-Karls University Hospital, Heidelberg, Germany. derdar.demirel@med.uni-heidelberg.de
Winter
C
C
Rapprich
B
B
Weigand
H
H
Gamstätter
G
G
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*