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Local fibrinolysis for superior mesenteric artery thromboembolism
- Source :
- Cardiovascular and interventional radiology. 17(4)
- Publication Year :
- 1994
-
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.
- 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
Subjects
Details
- ISSN :
- 01741551
- Volume :
- 17
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Cardiovascular and interventional radiology
- Accession number :
- edsair.doi.dedup.....dc113a669921c71af64293f05cc260d7