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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)
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author
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publishing date
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
ISSN
1432-086X
DOI
10.1007/s00270-009-9559-x
language
English
LU publication?
yes
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
2009-05-06 13:46:46
date last changed
2017-09-10 04:46:35
@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},
  volume       = {32},
  year         = {2009},
}