Bowel necrosis following endovascular revascularization for chronic mesenteric ischemia: a case report and review of the literature

被引：3
|
作者：
Shirasu, Takuro [1 ]
Hosaka, Akihiro [1 ]
Okamoto, Hiroyuki [1 ]
Shigematsu, Kunihiro [1 ]
Takeda, Yasushi [2 ]
Miyata, Tetsuro [1 ]
Watanabe, Toshiaki [3 ]
机构：
[1] Univ Tokyo, Div Vasc Surg, Dept Surg, Grad Sch Med, Tokyo, Japan
[2] Tokyo Rosai Occupat Dis & Injuries Hosp, Dept Surg, Tokyo, Japan
[3] Univ Tokyo, Dept Surg Oncol, Tokyo, Japan
来源：
BMC GASTROENTEROLOGY | 2013年 / 13卷
关键词：
Chronic mesenteric ischemia; Endovascular revascularization; Embolization; Bowel necrosis; Embolic protection device; EMBOLIC PROTECTION; ABDOMINAL ANGINA; ANGIOPLASTY;
D O I：
10.1186/1471-230X-13-118
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Background: Endovascular revascularization has recently been established as a less invasive treatment method for chronic mesenteric ischemia. However, intestinal necrosis caused by distal embolization following this procedure has not been emphasized. Case presentation: The present report describes a 59-year-old man who was treated with endovascular revascularization for chronic mesenteric ischemia. After the procedure, he was diagnosed with intestinal necrosis caused by distal embolization. Despite emergent bowel resection, he died on postoperative day 109. Conclusion: Although endovascular revascularization for chronic mesenteric ischemia is less invasive and may be suitable for high-risk patients, attention should be paid to avoid embolic complications that can cause intestinal infarction possibly leading to a fatal condition.
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页数：4
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