Document Detail

Acute mesenteric ischemia: primary percutaneous therapy.
MedLine Citation:
PMID:  19795499     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Management of acute mesenteric ischemia is still a matter of concern for physicians. This disorder has been associated to an increased mortality mainly because of a late diagnosis and controversial treatment options. METHODS AND RESULTS: We describe the case of a multidisciplinary approach to a cardiogenic thrombotic occlusion of superior mesenteric artery resulting in acute mesenteric ischemia. After rapid diagnosis with Duplex scan, we brought the patient to our catheterization laboratory and managed it with the common tools used for primary percutaneous coronary intervention. Among the specific issues of this case report, we observed some of the common complications of the acute myocardial infarction managed in the catheterization laboratory and treated them with the same tools used in the "myocardial area." CONCLUSIONS: We showed how an "interventional cardiologist's" approach to acute mesenteric ischemia was effective in restoring superior mesenteric artery patency and in aborting a mesenteric infarction.
Bernardo Cortese; Ugo Limbruno
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  75     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-27     Completed Date:  2010-04-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  283-5     Citation Subset:  IM    
Interventional Cardiology Unit, Ospedale della Misericordia, Grosseto, Italy.
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MeSH Terms
Acute Disease
Atrial Fibrillation / complications*
Cardiovascular Agents / therapeutic use
Combined Modality Therapy
Ischemia / etiology,  radiography,  therapy*,  ultrasonography
Mesenteric Artery, Superior
Mesenteric Vascular Occlusion / etiology,  radiography,  therapy*,  ultrasonography
Middle Aged
Patient Care Team
Thrombolytic Therapy*
Thrombosis / etiology,  radiography,  therapy*,  ultrasonography
Treatment Outcome
Ultrasonography, Doppler, Duplex
Vascular Patency
Reg. No./Substance:
0/Cardiovascular Agents

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