title: Treatment of mesenteric vein thrombosis with transjugular mechanical thrombectomy and subsequent simultaneous arterial and venous thrombolysis.
abstract: Mesenteric vein thrombosis may induce intestinal ischemia and gangrene. In severe cases, it is necessary to restore venous outflow from the small intestine rapidly. We describe a severe case of mesenteric vein thrombosis that was resolved successfully by mechanical thrombectomy from a transjugular approach followed by selective simultaneous venous and arterial thrombolysis via the superior mesenteric vein and artery. In conclusion, the transjugular intrahepatic portosystemic approach was a feasible and safe access for mechanical thrombectomy and thrombolysis of the mesenteric vein in our patient.
authors.affiliation: Vascular Center, Skåne University Hospital, Malmö, Sweden. Electronic address: johan.wasselius@gmail.com.
authors.forename: Johan
authors.initials: J
authors.lastname: Wassélius
authors.affiliation: Vascular Center, Skåne University Hospital, Malmö, Sweden.
authors.forename: Björn
authors.initials: B
authors.lastname: Sonesson
authors.affiliation: Vascular Center, Skåne University Hospital, Malmö, Sweden.
authors.forename: Johan
authors.initials: J
authors.lastname: Elf
authors.affiliation: Department of Intensive Care and Perioperative Medicine, Skåne University Hospital, Malmö, Sweden.
authors.forename: Martin
authors.initials: M
authors.lastname: Ahlström
authors.affiliation: Vascular Center, Skåne University Hospital, Malmö, Sweden.
authors.forename: Martin
authors.initials: M
authors.lastname: Malina
authors.affiliation: Vascular Center, Skåne University Hospital, Malmö, Sweden.
authors.forename: Nuno
authors.initials: N
authors.lastname: Dias