1. Local fibrinolysis for superior mesenteric artery thromboembolism
- Author
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Louis Boyer, J M Delorme, J. F. Viallet, Alexandre M, Annie Boissier, P Gimbergues, and Glanddier G
- Subjects
Male ,medicine.medical_specialty ,Abdominal pain ,Exploratory laparotomy ,medicine.medical_treatment ,Embolectomy ,Radiography, Interventional ,Mesenteric Artery, Superior ,medicine.artery ,Thromboembolism ,Fibrinolysis ,Mesenteric Vascular Occlusion ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Thrombolytic Therapy ,Superior mesenteric artery ,Aged ,medicine.diagnostic_test ,business.industry ,Atrial fibrillation ,medicine.disease ,Surgery ,Ostium ,Tissue Plasminogen Activator ,Angiography ,Radiology ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business - Abstract
A 66-year-old man with atrial fibrillation was referred soon after developing left lower limb and abdominal pain with rectal bleeding. An immediate flush aortogram showed embolic occlusion of the left distal superficial femoral artery and superior mesenteric artery (SMA), 3 cm from its ostium. Recombinant tissue plasminogen activitor (rtPA) 40 mg was selectively in stilled in the SMA in two boluses. Abdominal symptoms resolved within 48 h, and complete recanalization of the SMA was shown on angiography. Exploratory laparotomy after 72 h showed a normal small bowel and right colon, and was completed by femoropopliteal embolectomy. Six months later, the patient remained asymptomatic.
- Published
- 1994