Slow-bolus infusion of r-tPA in the treatment of superior mesenteric artery embolism

 
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2007 (EN)
Slow-bolus infusion of r-tPA in the treatment of superior mesenteric artery embolism (EN)

., C. Giavroglou

SUMMARY Thromboembolic occlusion of the SMA is an uncommon cause of acute intestinal ischemia that carries a high mortality. We report 2 cases of SMA embolism, treated with slow-bolus infusion of r-tPA. Angiography showed a partially occluded ileiocolic artery in the first patient and a total proximal occlusion of the SMA in the second patient. Thrombolytic drugs were selectively injected in both patients. The clot lysis was complete and the symptoms disappeared in the first patient. In the second patient clot lysis was incomplete and thus an extensive enterectomy was inevitable. Slow-bolus infusion of thrombolytic drugs is an effective method in carefully selected patients with SMA embolism. Key words: Mesenteric ischemia, local fibrinolysis, mesenteric artery, embolism (EN)

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Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Society of Gastroenterology (EN)

2007-04-07


Hellenic Society of Gastroenterology (EN)

1792-7463
1108-7471
Annals of Gastroenterology; Volume 17, No 1 (2004) (EN)



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