Successful Percutaneous Transluminal Angioplasty and Stenting in Acute Mesenteric Ischemia

Journal Article · Sat Mar 15 04:00:00 EDT 2008 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-006-0147-Z· OSTI ID:21090651

Gartenschlaeger, Soeren ^[1]; Bender, Siegfried; Maeurer, Juergen ^[2]; Schroeder, Ralf J ^[1]

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1. Charite University Medical Care in Berlin, Virchow Campus Hospital, Department of Radiology (Germany)
2. Klinikum Frankfurt (Oder) GmbH, Academic Teaching Hospital of Charite University Medical Care, Institute for Imaging Diagnostics (Germany)

Acute mesenteric ischemia (AMI) is a life-threatening emergency. The complications are high by the time of diagnosis in most cases and therefore only few data on primary percutaneous intervention with percutaneous transluminal angioplasty (PTA) and stenting in AMI are available. We present the case of an 84-year-old woman who presented to our emergency department complaining of an acute worsening of pre-existing abdominal periumbilical pain, nausea, vomiting, and diarrhea. She had previously undergone percutaneous transluminal embolectomy for an acute occlusion of the left common femoral artery. Due to suspicion of intestinal infarction, conventional angiography of the aorta and the superior mesenteric artery (SMA) was performed and confirmed a proximal occlusion of the SMA. Percutaneous SMA recanalization with balloon dilation and subsequent stent implantation was carried out successfully. The abdominal symptoms subsided after this procedure. In AMI that is diagnosed early, endovascular stenting should be considered as an alternative treatment to the surgical approach that avoids the need for surgical bowel resection.

• OSTI ID: 21090651
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 2 Vol. 31; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
AORTA
BIOMEDICAL RADIOGRAPHY
DIAGNOSIS
DIARRHEA
ISCHEMIA
NAUSEA
PAIN
SURGERY
VOMITING