Acute superior mesenteric artery embolism: reperfusion with AngioJet hydrodynamic suction thrombectomy and pharmacologic thrombolysis with the EKOS catheter
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作者:
Ballehaninna, U. K.
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Maimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USAMaimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USA
Ballehaninna, U. K.
[1
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Hingorani, A.
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Maimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USAMaimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USA
Hingorani, A.
[1
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Ascher, E.
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Maimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USAMaimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USA
Ascher, E.
[1
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Shiferson, A.
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Maimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USAMaimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USA
Shiferson, A.
[1
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Marks, N.
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Maimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USAMaimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USA
Marks, N.
[1
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Aboian, E.
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Maimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USAMaimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USA
Aboian, E.
[1
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Jimenez, R.
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Maimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USAMaimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USA
Jimenez, R.
[1
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Jacob, T.
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Maimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USAMaimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USA
Jacob, T.
[1
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McIntyre, T.
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Maimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USAMaimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USA
McIntyre, T.
[1
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机构:
[1] Maimonides Hosp, Div Vasc Serv, Brooklyn, NY 11219 USA
Acute mesenteric ischemia is commonly treated by surgical exploration and open thrombectomy. Very few reports describe using newer, minimally invasive methods which utilize catheter-based mechanical and pharmacological thrombolysis. Herein, we report a case of acute superior mesenteric embolism successfully treated with AngioJet hydrodynamic mechanical thrombectomy and EKOS catheter pharmacological thrombolysis. A 76-year-old man with new onset atrial fibrillation presented with abdominal pain of 48 hours duration. Subsequent contrast computed tomography scan of the abdomen revealed a filling defect in the superior mesenteric artery (SMA), suggestive of an acute embolus, which was confirmed by SMA angiogram. The AngioJet aspiration device was used for hydrodynamic suction thrombectomy. The repeat angiogram demonstrated only a partial restoration of blood flow, and thus the EKOS tissue plasminogen activator catheter was left in the SMA for continuous thrombolysis. The patient underwent continuous thrombolysis for two days, with two subsequent sessions of angiography. Thereafter, the patient improved symptomatically and serum lactate was normalized. In conclusion, the AngioJet suction thrombectomy and pharmaco-mechanical thrombolysis using the EKOS catheter is associated with minimal morbidity and can be rapidly performed. It may be used as an alternative to open surgical thrombectomy in selected cases of acute SMA embolism.
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Army Med Univ, Southwest Hosp, Dept Vasc Surg, 38 Main St,Gaotanyan,Shapingba, Chongqing, Peoples R ChinaArmy Med Univ, Southwest Hosp, Dept Vasc Surg, 38 Main St,Gaotanyan,Shapingba, Chongqing, Peoples R China
Chen, Shang-Xiong
Zhang, Bin
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Army Med Univ, Southwest Hosp, Dept Vasc Surg, 38 Main St,Gaotanyan,Shapingba, Chongqing, Peoples R ChinaArmy Med Univ, Southwest Hosp, Dept Vasc Surg, 38 Main St,Gaotanyan,Shapingba, Chongqing, Peoples R China
Zhang, Bin
Hao, Ying-Xue
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Army Med Univ, Southwest Hosp, Dept Vasc Surg, 38 Main St,Gaotanyan,Shapingba, Chongqing, Peoples R ChinaArmy Med Univ, Southwest Hosp, Dept Vasc Surg, 38 Main St,Gaotanyan,Shapingba, Chongqing, Peoples R China
Hao, Ying-Xue
Xiao, Hang
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Army Med Univ, Southwest Hosp, Dept Vasc Surg, 38 Main St,Gaotanyan,Shapingba, Chongqing, Peoples R ChinaArmy Med Univ, Southwest Hosp, Dept Vasc Surg, 38 Main St,Gaotanyan,Shapingba, Chongqing, Peoples R China
机构:
Boston Univ, Med Ctr, Sect Vasc & Endovasc Surg, 88 East Newton St,Collamore Bldg,5th Floor, Boston, MA 02119 USABoston Univ, Med Ctr, Sect Vasc & Endovasc Surg, 88 East Newton St,Collamore Bldg,5th Floor, Boston, MA 02119 USA
Tan, Tze-Woei
Bohannon, W. Todd
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Scott & White Hosp, Texas A&M Hlth Sci Ctr, Coll Med, Div Vasc Surg, Temple, TX USABoston Univ, Med Ctr, Sect Vasc & Endovasc Surg, 88 East Newton St,Collamore Bldg,5th Floor, Boston, MA 02119 USA
Bohannon, W. Todd
Mattos, Mark A.
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机构:Boston Univ, Med Ctr, Sect Vasc & Endovasc Surg, 88 East Newton St,Collamore Bldg,5th Floor, Boston, MA 02119 USA
Mattos, Mark A.
Hodgson, Kim J.
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Southern Illinois Univ, Sch Med, Springfield, IL USABoston Univ, Med Ctr, Sect Vasc & Endovasc Surg, 88 East Newton St,Collamore Bldg,5th Floor, Boston, MA 02119 USA
Hodgson, Kim J.
Farber, Alik
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Boston Univ, Med Ctr, Sect Vasc & Endovasc Surg, 88 East Newton St,Collamore Bldg,5th Floor, Boston, MA 02119 USABoston Univ, Med Ctr, Sect Vasc & Endovasc Surg, 88 East Newton St,Collamore Bldg,5th Floor, Boston, MA 02119 USA
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Catholic Univ Korea, Dept Surg, Seoul St Marys Hosp, Seoul 137701, South KoreaCatholic Univ Korea, Dept Surg, Seoul St Marys Hosp, Seoul 137701, South Korea
Kim, Mi Hyeong
Park, Keun Myoung
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Catholic Univ Korea, Dept Surg, Seoul St Marys Hosp, Seoul 137701, South KoreaCatholic Univ Korea, Dept Surg, Seoul St Marys Hosp, Seoul 137701, South Korea
Park, Keun Myoung
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Chun, Ho Jong
Hong, Kee Chun
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Inha Univ, Inha Univ Hosp, Dept Surg, Inchon, South KoreaCatholic Univ Korea, Dept Surg, Seoul St Marys Hosp, Seoul 137701, South Korea
Hong, Kee Chun
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Jeon, Yong Sun
Cho, Soon Gu
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Inha Univ, Inha Univ Hosp, Dept Radiol, Inchon, South KoreaCatholic Univ Korea, Dept Surg, Seoul St Marys Hosp, Seoul 137701, South Korea
Cho, Soon Gu
Kim, Jang Yong
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Catholic Univ Korea, Dept Surg, Seoul St Marys Hosp, Seoul 137701, South KoreaCatholic Univ Korea, Dept Surg, Seoul St Marys Hosp, Seoul 137701, South Korea
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UT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USAUT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USA
Arar, Ahmad
Rice, Samuel L.
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UT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USA
Netherlands Canc Inst Antoni Van Leeuwenhoekzieken, Dept Radiol, Plesmanlaan 121, NL-1066 CX Amsterdam, NetherlandsUT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USA
Rice, Samuel L.
Alnablsi, Mhd Wisam
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UT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USAUT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USA
Alnablsi, Mhd Wisam
Pillai, Akhilesh
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Univ Texas Hlth Sci Ctr, Dept Radiol, Intervent Radiol, 7000 Fannin St, Houston, TX 77030 USAUT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USA
Pillai, Akhilesh
Benjamin, Jamaal
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UT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USAUT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USA
Benjamin, Jamaal
Quadri, Rehan
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UT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USAUT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USA
Quadri, Rehan
Lamus, Daniel
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UT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USAUT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USA
Lamus, Daniel
Pillai, Anil
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UT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USAUT Southwestern Med Ctr, Dept Radiol, Intervent Radiol Sect, 5959 Harry Hines Blvd,Profess Off Bldg 1 HP6 600 M, Dallas, TX 75390 USA