Document Detail

Endovascular treatment of an acute superior mesenteric artery occlusion following failed surgical embolectomy.
MedLine Citation:
PMID:  12877629     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To present the successful primary stenting of a superior mesenteric artery (SMA) occlusion following failed surgical embolectomy. CASE REPORT: A 65-year-old woman with a history of atrial fibrillation underwent surgical embolectomy of an acute embolic occlusion of the superior mesenteric artery (SMA). The following day, symptom recurrence suggested reocclusion, which was confirmed with emergent arteriography. Two balloon-expandable stents were deployed primarily, which ameliorated the patient's symptoms. Follow-up angiography at 3 months showed continued SMA patency, with no evidence of distal embolization or restenosis. The patient remains asymptomatic at 9 months after the stent procedure. CONCLUSIONS: Although more experience is required, primary stenting may be a valuable alternative in the treatment of acute SMA occlusions, in particular, for reocclusions after failed surgery.
Saim Yilmaz; Alihan Gürkan; Okan Erdoğan; Timur Sindel; Kağan Ceken; Ersin Lüleci
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  10     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-07-24     Completed Date:  2004-02-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  386-91     Citation Subset:  IM    
Department of Radiology, Akdeniz University School of Medicine, Arapsuyu, Antalya, Turkey.
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MeSH Terms
Angioplasty, Balloon*
Mesenteric Artery, Superior / surgery
Mesenteric Vascular Occlusion / therapy*
Treatment Failure

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