Endovascular Therapeutic Approaches for Acute Superior Mesenteric Artery Occlusion.
Acosta, Stefan LU
; Sonesson, Björn
LU
and Resch, Tim
LU
(2009)
In Cardiovascular and Interventional Radiology
32.
p.896-905
- Abstract
- The purpose of this study was to characterize the outcome of attempted endovascular intervention in patients with acute embolic or thrombotic superior mesenteric artery (SMA) occlusion. The records of 21 patients during a 3-year period between 2005 and 2008 were retrieved from the in-hospital registry. The first group included 10 patients (6 women and 4 men; median age 78 years) with acute embolic occlusion of the SMA. The median duration of symptoms from symptom onset to angiography was 30 hours (range 6 to 120). Synchronous emboli (n = 12) occurred in 6 patients. Embolus aspiration was performed in 9 patients, and 7 of these had satisfactory results. Complementary local thrombolysis was successful in 2 of 3 patients. Residual emboli were... (More)
- The purpose of this study was to characterize the outcome of attempted endovascular intervention in patients with acute embolic or thrombotic superior mesenteric artery (SMA) occlusion. The records of 21 patients during a 3-year period between 2005 and 2008 were retrieved from the in-hospital registry. The first group included 10 patients (6 women and 4 men; median age 78 years) with acute embolic occlusion of the SMA. The median duration of symptoms from symptom onset to angiography was 30 hours (range 6 to 120). Synchronous emboli (n = 12) occurred in 6 patients. Embolus aspiration was performed in 9 patients, and 7 of these had satisfactory results. Complementary local thrombolysis was successful in 2 of 3 patients. Residual emboli were present at completion angiography in all 7 patients who underwent successful aspiration embolectomy, and bowel resection was necessary in only 1 of these patients. One serious complication occurred because of a long SMA dissection. The in-hospital survival rate was 90% (9 of 10 patients). The second group included 11 patients (10 women and 1 man; median age 68 years) with atherosclerotic acute SMA occlusions. The median time of symptom duration before intervention was 97 hours (range 17 to 384). The brachial, femoral, and SMA routes were used in 6, 7, and 5 patients, respectively. SMA stenting was performed through an antegrade (n = 7) or retrograde (n = 3) approach. Bowel resection was necessary in 4 patients. No major complications occurred. The in-hospital survival rate was 82% (9 of 11 patients). Endovascular therapy of acute SMA occlusion provides a good alternative to open surgery. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1392111
- author
- Acosta, Stefan
LU
; Sonesson, Björn
LU
and Resch, Tim
LU
- organization
- publishing date
- 2009
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Cardiovascular and Interventional Radiology
- volume
- 32
- pages
- 896 - 905
- publisher
- Springer
- external identifiers
-
- wos:000269838400005
- pmid:19365685
- scopus:69949190091
- pmid:19365685
- ISSN
- 1432-086X
- DOI
- 10.1007/s00270-009-9559-x
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Emergency medicine/Medicine/Surgery (013240200), Unit for Clinical Vascular Disease Research (013242410)
- id
- 1e11ea48-4211-4110-a42f-64177ee87483 (old id 1392111)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/19365685?dopt=Abstract
- date added to LUP
- 2016-04-04 08:45:17
- date last changed
- 2022-03-07 22:06:52
@article{1e11ea48-4211-4110-a42f-64177ee87483,
abstract = {{The purpose of this study was to characterize the outcome of attempted endovascular intervention in patients with acute embolic or thrombotic superior mesenteric artery (SMA) occlusion. The records of 21 patients during a 3-year period between 2005 and 2008 were retrieved from the in-hospital registry. The first group included 10 patients (6 women and 4 men; median age 78 years) with acute embolic occlusion of the SMA. The median duration of symptoms from symptom onset to angiography was 30 hours (range 6 to 120). Synchronous emboli (n = 12) occurred in 6 patients. Embolus aspiration was performed in 9 patients, and 7 of these had satisfactory results. Complementary local thrombolysis was successful in 2 of 3 patients. Residual emboli were present at completion angiography in all 7 patients who underwent successful aspiration embolectomy, and bowel resection was necessary in only 1 of these patients. One serious complication occurred because of a long SMA dissection. The in-hospital survival rate was 90% (9 of 10 patients). The second group included 11 patients (10 women and 1 man; median age 68 years) with atherosclerotic acute SMA occlusions. The median time of symptom duration before intervention was 97 hours (range 17 to 384). The brachial, femoral, and SMA routes were used in 6, 7, and 5 patients, respectively. SMA stenting was performed through an antegrade (n = 7) or retrograde (n = 3) approach. Bowel resection was necessary in 4 patients. No major complications occurred. The in-hospital survival rate was 82% (9 of 11 patients). Endovascular therapy of acute SMA occlusion provides a good alternative to open surgery.}},
author = {{Acosta, Stefan and Sonesson, Björn and Resch, Tim}},
issn = {{1432-086X}},
language = {{eng}},
pages = {{896--905}},
publisher = {{Springer}},
series = {{Cardiovascular and Interventional Radiology}},
title = {{Endovascular Therapeutic Approaches for Acute Superior Mesenteric Artery Occlusion.}},
url = {{http://dx.doi.org/10.1007/s00270-009-9559-x}},
doi = {{10.1007/s00270-009-9559-x}},
volume = {{32}},
year = {{2009}},
}