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Percutaneous Aspiration Embolectomy Using Guiding Catheter for the Superior Mesenteric Artery Embolism

OBJECTIVE: To evaluate the technical feasibility and clinical outcome of percutaneous aspiration embolectomy for embolic occlusion of the superior mesenteric artery (SMA). MATERIALS AND METHODS: Between January 2010 and December 2013, 9 patients with embolic occlusion of the SMA were treated by perc...

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Autores principales: Choi, Kyu Sung, Kim, Ji Dae, Kim, Hyo-Cheol, Min, Sang-Il, Min, Seung-Kee, Jae, Hwan Jun, Chung, Jin Wook
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Radiology 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4499537/
https://www.ncbi.nlm.nih.gov/pubmed/26175572
http://dx.doi.org/10.3348/kjr.2015.16.4.736
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author Choi, Kyu Sung
Kim, Ji Dae
Kim, Hyo-Cheol
Min, Sang-Il
Min, Seung-Kee
Jae, Hwan Jun
Chung, Jin Wook
author_facet Choi, Kyu Sung
Kim, Ji Dae
Kim, Hyo-Cheol
Min, Sang-Il
Min, Seung-Kee
Jae, Hwan Jun
Chung, Jin Wook
author_sort Choi, Kyu Sung
collection PubMed
description OBJECTIVE: To evaluate the technical feasibility and clinical outcome of percutaneous aspiration embolectomy for embolic occlusion of the superior mesenteric artery (SMA). MATERIALS AND METHODS: Between January 2010 and December 2013, 9 patients with embolic occlusion of the SMA were treated by percutaneous aspiration embolectomy in 2 academic teaching hospitals. The aspiration embolectomy procedure was performed with the 6-Fr and 7-Fr guiding catheter. Thrombolysis was performed with urokinase using a multiple-sidehole infusion catheter. The clinical outcome was investigated retrospectively. RESULTS: Superior mesenteric artery occlusion was initially diagnosed by computed tomography (CT) in all patients, and all patients had no obvious evidence of bowel infarction on CT scan. Percutaneous aspiration embolectomy was primarily performed in 6 patients, and thrombolysis was initially performed in 3 patients. In 3 patients who received primary thrombolysis, percutaneous aspiration was undertaken because the emboli were resistant to urokinase. Complete angiographic success was achieved in 6 patients and partial angiographic success was accomplished in 3 patients. One patient underwent bowel resection. One patient died of whole bowel necrosis and sepsis, and 8 patients survived without complications. CONCLUSION: Percutaneous aspiration embolectomy is a useful tool in recanalization of embolic occlusion of the SMA in select patients.
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spelling pubmed-44995372015-07-14 Percutaneous Aspiration Embolectomy Using Guiding Catheter for the Superior Mesenteric Artery Embolism Choi, Kyu Sung Kim, Ji Dae Kim, Hyo-Cheol Min, Sang-Il Min, Seung-Kee Jae, Hwan Jun Chung, Jin Wook Korean J Radiol Intervention OBJECTIVE: To evaluate the technical feasibility and clinical outcome of percutaneous aspiration embolectomy for embolic occlusion of the superior mesenteric artery (SMA). MATERIALS AND METHODS: Between January 2010 and December 2013, 9 patients with embolic occlusion of the SMA were treated by percutaneous aspiration embolectomy in 2 academic teaching hospitals. The aspiration embolectomy procedure was performed with the 6-Fr and 7-Fr guiding catheter. Thrombolysis was performed with urokinase using a multiple-sidehole infusion catheter. The clinical outcome was investigated retrospectively. RESULTS: Superior mesenteric artery occlusion was initially diagnosed by computed tomography (CT) in all patients, and all patients had no obvious evidence of bowel infarction on CT scan. Percutaneous aspiration embolectomy was primarily performed in 6 patients, and thrombolysis was initially performed in 3 patients. In 3 patients who received primary thrombolysis, percutaneous aspiration was undertaken because the emboli were resistant to urokinase. Complete angiographic success was achieved in 6 patients and partial angiographic success was accomplished in 3 patients. One patient underwent bowel resection. One patient died of whole bowel necrosis and sepsis, and 8 patients survived without complications. CONCLUSION: Percutaneous aspiration embolectomy is a useful tool in recanalization of embolic occlusion of the SMA in select patients. The Korean Society of Radiology 2015 2015-07-01 /pmc/articles/PMC4499537/ /pubmed/26175572 http://dx.doi.org/10.3348/kjr.2015.16.4.736 Text en Copyright © 2015 The Korean Society of Radiology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Intervention
Choi, Kyu Sung
Kim, Ji Dae
Kim, Hyo-Cheol
Min, Sang-Il
Min, Seung-Kee
Jae, Hwan Jun
Chung, Jin Wook
Percutaneous Aspiration Embolectomy Using Guiding Catheter for the Superior Mesenteric Artery Embolism
title Percutaneous Aspiration Embolectomy Using Guiding Catheter for the Superior Mesenteric Artery Embolism
title_full Percutaneous Aspiration Embolectomy Using Guiding Catheter for the Superior Mesenteric Artery Embolism
title_fullStr Percutaneous Aspiration Embolectomy Using Guiding Catheter for the Superior Mesenteric Artery Embolism
title_full_unstemmed Percutaneous Aspiration Embolectomy Using Guiding Catheter for the Superior Mesenteric Artery Embolism
title_short Percutaneous Aspiration Embolectomy Using Guiding Catheter for the Superior Mesenteric Artery Embolism
title_sort percutaneous aspiration embolectomy using guiding catheter for the superior mesenteric artery embolism
topic Intervention
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4499537/
https://www.ncbi.nlm.nih.gov/pubmed/26175572
http://dx.doi.org/10.3348/kjr.2015.16.4.736
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