Use of Multimodal Interventional Radiology with an Intracerebral Artery Stent Retriever for Acute Superior Mesenteric Artery Thrombosis: A Case Report

Ann Vasc Surg. 2020 Feb:63:457.e13-457.e18. doi: 10.1016/j.avsg.2019.08.078. Epub 2019 Oct 14.

Abstract

Acute superior mesenteric artery thrombosis is usually fatal; however, early intravascular treatment using a mechanical thrombectomy device can be an effective intervention. A 70-year-old man with atrial fibrillation presented with sudden abdominal pain; superior mesenteric artery thrombosis was confirmed using contrast-enhanced computed tomography. Thrombolysis, mechanical fragmentation, aspiration, and thrombectomy were successfully performed using the Trevo® XP ProVue stent retriever via a brachial approach, and intestinal necrosis was avoided. Thus, intravascular treatment of superior mesenteric artery thrombosis can be performed using a relatively low-profile catheter and a brachial artery approach, allowing the implementation of a multimodal interventional radiological approach tailored for individual cases.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Endovascular Procedures / instrumentation*
  • Humans
  • Male
  • Mesenteric Artery, Superior* / diagnostic imaging
  • Mesenteric Artery, Superior* / physiopathology
  • Mesenteric Vascular Occlusion / diagnostic imaging
  • Mesenteric Vascular Occlusion / physiopathology
  • Mesenteric Vascular Occlusion / therapy*
  • Radiography, Interventional / instrumentation*
  • Stents*
  • Thrombectomy / instrumentation*
  • Thrombolytic Therapy / instrumentation*
  • Thrombosis / diagnostic imaging
  • Thrombosis / physiopathology
  • Thrombosis / therapy*
  • Treatment Outcome