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Direct aspiration using rapid‐exchange and low‐profile device for acute thrombo‐embolic occlusion of the superior mesenteric artery
Author(s) -
Kawarada Osami,
Sonomura Tetsuo,
Yokoi Yoshiaki
Publication year - 2006
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20827
Subject(s) - medicine , thrombolysis , superior mesenteric artery , thrombus , sma* , embolism , surgery , occlusion , radiology , laparotomy , thrombosis , cardiology , embolization , myocardial infarction , mathematics , combinatorics
Acute thrombo‐embolic occlusion of the superior mesenteric artery (SMA) is potentially fatal vascular emergency that requires rapid restoration of mesenteric blood flow as well as early diagnosis. Selective thrombolysis has been employed for this life‐threatening event. Although failed thrombolysis is a well known phenomenon, which is directly connected with bowel necrosis, emergent laparotomy, and patient death, little progress has been made in its treatment strategy. Recently, direct aspiration using rapid‐exchange and low‐profile aspiration device has been reported as a simple, safe, and effective strategy to thrombus in coronary artery. We describe the utility of direct aspiration using this sort of aspiration device for failed thrombolysis of SMA thrombo‐embolism. © 2006 Wiley‐Liss, Inc.