title: Transcatheter thrombolysis combined with damage control surgery for treatment of acute mesenteric venous thrombosis associated with bowel necrosis: a retrospective study.
abstract: OBJECTIVE
  This study aims to evaluate the clinical outcomes of transcatheter thrombolysis in acute superior mesenteric venous thrombosis (ASMVT) associated with bowel necrosis.
  
  
  METHODS
  A retrospective study of six patients with ASMVT treated with catheter-directed thrombectomy/thrombolysis and damage control surgery at Jinling Hospital (Nanjing, China) between 2010 and 2013 was conducted. Demographics, past medical history, risk factors, therapeutic methods and effects, mortality, and follow-up of the study population were assessed.
  
  
  RESULTS
  Five of six patients underwent arteriovenous combined thrombolysis, while one patient underwent arterial thrombolysis. All patients required damage control surgery, and four of these patients underwent temporary abdominal closure. All patients survived and were free of recurrence.
  
  
  CONCLUSIONS
  Transcatheter thrombectomy/thrombolysis and damage control surgery could help avoid extensive bowel resection, prevent short bowel syndrome and reduce mortality for critically ill patients with acute mesenteric venous thrombosis associated with bowel necrosis.
authors.affiliation: Medical School of Nanjing University, Nanjing, 210002 Jiangsu Province P. R. China.
authors.forename: Kai
authors.initials: K
authors.lastname: Liu
authors.affiliation: Medical School of Nanjing University, Nanjing, 210002 Jiangsu Province P. R. China.
authors.forename: Jiaxiang
authors.initials: J
authors.lastname: Meng
authors.affiliation: Medical School of Nanjing University, Nanjing, 210002 Jiangsu Province P. R. China.
authors.forename: Shuofei
authors.initials: S
authors.lastname: Yang
authors.affiliation: Medical School of Nanjing University, Nanjing, 210002 Jiangsu Province P. R. China.
authors.forename: Baochen
authors.initials: B
authors.lastname: Liu
authors.affiliation: Research Institute of General Surgery, Jinling Hospital, 305 East Zhongshan Road, 210002 Nanjing, Jiangsu China.
authors.forename: Weiwei
authors.initials: W
authors.lastname: Ding
authors.affiliation: Research Institute of General Surgery, Jinling Hospital, 305 East Zhongshan Road, 210002 Nanjing, Jiangsu China.
authors.forename: Xingjiang
authors.initials: X
authors.lastname: Wu
authors.affiliation: Research Institute of General Surgery, Jinling Hospital, 305 East Zhongshan Road, 210002 Nanjing, Jiangsu China.
authors.forename: Jieshou
authors.initials: J
authors.lastname: Li
keywords: Acute superior mesenteric venous thrombosis; Bowel necrosis; Damage control surgery; Interventional thrombolysis