title: Aspiration therapy for acute superior mesenteric artery embolism with an angled guiding sheath and guiding catheter.
abstract: Seven patients with superior mesenteric artery embolism were treated by aspiration with the use of a 6-F angled guiding sheath and a 6-F guiding catheter through an 8-F short sheath by direct advancement using a telescopic and "biting-off" technique. Aspiration of the trunk took between 30 and 60 minutes (median, 44.0 min), and total procedure time ranged from 34 to 94 minutes (median, 60 min). Five of six trunk lesions and six of nine branch lesions were successfully aspirated. One dissection was observed. Six patients underwent bowel resection. Two patients died and the remaining five survived for a median of 868.2 days without complications.
authors.affiliation: Department of Radiology, Hyogo Brain and Heart Center at Himeji, Himeji. Electronic address: kawaryo1999@yahoo.co.jp.
authors.forename: Ryota
authors.initials: R
authors.lastname: Kawasaki
authors.affiliation: Department of Radiology, Hyogo Brain and Heart Center at Himeji, Himeji.
authors.forename: Naokazu
authors.initials: N
authors.lastname: Miyamoto
authors.affiliation: Department of Radiology, Hyogo Brain and Heart Center at Himeji, Himeji.
authors.forename: Haruka
authors.initials: H
authors.lastname: Oki
authors.affiliation: Department of Radiology and Center for Endovascular Therapy, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Japan 650-0017.
authors.forename: Masato
authors.initials: M
authors.lastname: Yamaguchi
authors.affiliation: Department of Radiology and Center for Endovascular Therapy, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Japan 650-0017.
authors.forename: Takuya
authors.initials: T
authors.lastname: Okada
authors.affiliation: Department of Radiology and Center for Endovascular Therapy, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Japan 650-0017.
authors.forename: Kazuro
authors.initials: K
authors.lastname: Sugimura
authors.affiliation: Department of Radiology and Center for Endovascular Therapy, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Japan 650-0017.
authors.forename: Koji
authors.initials: K
authors.lastname: Sugimoto
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D002406:Catheterization, Peripheral / Q000295:instrumentation* / Q000379:methods; D013505:Digestive System Surgical Procedures; D004617:Embolism / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D004867:Equipment Design; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D008875:Middle Aged; D012189:Retrospective Studies; D013396:Suction; D013997:Time Factors; D061665:Time-to-Treatment; D016896:Treatment Outcome; D062666:Vascular Access Devices