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首页> 外文期刊>Vascular and endovascular surgery >Mechanical Recanalization for Acute Embolic Occlusion at the Origin of the Superior Mesenteric Artery
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Mechanical Recanalization for Acute Embolic Occlusion at the Origin of the Superior Mesenteric Artery

机译：急性栓塞闭塞在优质肠系膜动脉的机械重量

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Purpose: We report a combined technique consisting of thrombectomy and thromboaspiration for the treatment of acute embolic occlusion of the superior mesenteric artery (SMA) at the origin. Case: A 90-year-old female with chronic atrial fibrillation had a sudden onset of abdominal pain and hematochezia due to acute embolic occlusion at the origin of the SMA. Computed tomographic findings showed reversible bowel wall ischemia. We performed mechanical thrombectomy using the Solitaire FR revascularization device, a self-expanding and fully retrievable stent-based thrombectomy system for acute intracranial large artery occlusion, combined with manual aspiration through a 6F guiding sheath placed at the SMA origin via a right brachial approach. Prompt and complete recanalization of the SMA was obtained without distal embolism, and intestinal necrosis was avoided. Conclusion: Combined endovascular procedures of mechanical thrombectomy using the Solitaire FR with thromboaspiration may allow prompt recanalization, clot removal, and prevention of distal embolism and therefore would be a new therapy for acute embolic occlusion at the origin of the SMA.
机译：目的：我们报告了一种组合技术，该组合技术组成的血液切除术和血栓痉挛，用于治疗原始肠系膜（SMA）的急性栓塞闭塞。案例：由于SMA的起源，慢性心房颤动的90岁女性患有慢性心房颤动的胃痛和血液中的突然发作。计算的断层摄影结果显示了可逆的肠壁缺血。我们使用Solitaire FR血运重建装置进行机械血栓切除术，用于急性颅内大动脉闭塞的自扩张和完全可检索的支架血液切除术系统，通过右臂方法将手动抽吸与手动抽吸结合在SMA原点处。在没有远端栓塞的情况下获得SMA的提示和完全重新化，避免了肠道坏死。结论：使用血栓染色液的粒子血栓形成机械血栓切除术的组合血管外术可以允许迅速重新调度，凝块去除和预防远端栓塞，因此是SMA起源的急性栓塞闭塞的新疗法。

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