Akute thromboembolische Okklusion eines membranüberzogenen Stents in der Arteria mesenterica superior: Therapie mittels perkutaner mechanischer Rotationsthrombektomie

Translated title of the contribution: Acute thromboembolic occlusion of the superior mesenteric artery following covered stent occlusion in the superior mesenteric artery: Endovascular therapy using mechanical rotational thrombectomy

Jan P. Goltz, Bernhard Petritsch, Leo Spor, Dietbert Hahn, Ralph Kickuth

4 Citations (Scopus)

Abstract

Acute thromboembolic occlusion of the superior mesenteric artery is a rare and oft en fatal condition in which surgery represents the golden standard in therapy. We present a case in which a patient was treated with covered stent implantation for acute bleeding from the superior mesenteric artery following pancreatic resection, radiation, and embolization of a hepatic artery pseudoaneurysm. Some weeks later clinical signs were suggestive of acute thromboembolic occlusion of the superior mesenteric artery and digital subtraction angiography showed occlusion of the previously implanted covered stents. The patient was successfully treated transfemorally with percutaneous mechanical instent thrombectomy using a 6F Rotarex® catheter. We conclude that in selected cases percutaneous mechanical thrombectomy may represent a minimally-invasive alternative to open surgical thrombectomy for treatment of acute thromboembolic occlusion of the superior mesenteric artery.

Translated title of the contributionAcute thromboembolic occlusion of the superior mesenteric artery following covered stent occlusion in the superior mesenteric artery: Endovascular therapy using mechanical rotational thrombectomy
Original languageGerman
JournalVasa - Journal of Vascular Diseases
Volume41
Issue number5
Pages (from-to)375-379
Number of pages5
ISSN0301-1526
DOIs
Publication statusPublished - 11.09.2012

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