Intra-arterial fibrinolytic treatment for mesenteric arterial embolus: a case report.
Can J Surg
; 39(2): 163-6, 1996 Apr.
Article
en En
| MEDLINE
| ID: mdl-8769930
ABSTRACT
The diagnosis of mesenteric ischemia is based on acute clinical awareness of the condition and confirmed by angiography or laparotomy. The standard treatment is abdominal exploration with resection of the gangrenous segment of the bowel or embolectomy of the superior mesentery artery, or both. Alternative treatment such as intra-arterial thrombolysis may be considered in selected patients. A 66-year-old man with a history of atrial fibrillation presented with abdominal pain. Angiography documented an embolus in both the ileocolic artery and a branch of the right renal artery. The patient was treated with selective intra-arterial infusion of streptokinase. The abdominal pain resolved. Repeat angiography showed lysis of both emboli.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Obstrucción de la Arteria Renal
/
Estreptoquinasa
/
Terapia Trombolítica
/
Embolia
/
Fibrinolíticos
/
Oclusión Vascular Mesentérica
Tipo de estudio:
Diagnostic_studies
Límite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Can J Surg
Año:
1996
Tipo del documento:
Article