title: [Endovascular therapy of superior mesenteric artery embolism].
abstract: OBJECTIVE
  To explore the safety and immediate efficacy of endovascular treatment for superior mesenteric artery embolism.
  
  
  METHODS
  From November 2007 to October 2012, 18 cases of superior mesenteric artery embolism were treated by thrombus extraction and/or catheter-directed thrombolysis. There were 13 males and 5 females with an age range of 44-91 years. The concurrent conditions included atrial fibrillation (n = 8) and rheumatic valve disease (n = 3). All diagnoses were made with abdominal enhanced computed tomography (CT) examination. Embolism was predominantly located at 3 to 10 cm away from opening. The procedures included thrombus extraction plus system thrombosis (n = 3), thrombus extraction and catheter-directed thrombolysis (n = 6), catheter-directed thrombolysis (n = 5) and thrombus extraction, catheter-directed thrombolysis and PTA (n = 2).
  
  
  RESULTS
  The technical success rate was 100%. Two cases had new embolism in popliteal artery. Another case with peritoneal irritation syndrome died after automatic discharge. The other 17 patients obtained satisfactory results and were followed up after 6 months by color Doppler ultrasound or abdominal enhanced CT. It showed that superior mesenteric arteries were unobstructed, but local stenosis occurred in 2 cases.
  
  
  CONCLUSIONS
  Endovascular interventional therapy is both safe and efficacious in the treatment of superior mesenteric artery embolization. And its immediate effect is satisfactory.
authors.affiliation: Department of Vascular Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215001, China.
authors.forename: Wen-dong
authors.initials: WD
authors.lastname: Li
authors.affiliation: Department of Vascular Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215001, China. Email: flytsg@126.com.
authors.forename: Xiao-qiang
authors.initials: XQ
authors.lastname: Li
authors.affiliation: Department of Vascular Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215001, China.
authors.forename: Qing-you
authors.initials: QY
authors.lastname: Meng
authors.affiliation: Department of Vascular Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215001, China.
authors.forename: Ai-min
authors.initials: AM
authors.lastname: Qian
authors.affiliation: Department of Vascular Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215001, China.
authors.forename: Hong-fei
authors.initials: HF
authors.lastname: Sang
authors.affiliation: Department of Vascular Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215001, China.
authors.forename: Li-wei
authors.initials: LW
authors.lastname: Zhu
authors.affiliation: Department of Vascular Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215001, China.
authors.forename: Ye-qing
authors.initials: YQ
authors.lastname: Zhang
authors.affiliation: Department of Vascular Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215001, China.
authors.forename: Jian-jie
authors.initials: JJ
authors.lastname: Rong
authors.affiliation: Department of Vascular Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215001, China.
authors.forename: Wen-bin
authors.initials: WB
authors.lastname: Wang
authors.affiliation: Department of Vascular Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215001, China.
authors.forename: Tie-jun
authors.initials: TJ
authors.lastname: Zhao
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002408:Catheters, Indwelling; D005260:Female; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000628:therapy*; D008875:Middle Aged; D015912:Thrombolytic Therapy / Q000379:methods*