Endovascular repair for acute mesenteric ischemia: case report
© Fiengo et al; licensee BioMed Central Ltd. 2011
Published: 24 August 2011
Acute mesenteric ischemia (AMI) is an abdominal emergency caused by: embolism (40-50%), with Superior Mesenteric Artery (SMA) thrombosis (20-25%), mesenteric venous thrombosis (5%) and non occlusive mesenteric ischemia (20%). The mortality rate is high and ranges from 64 to 93%.
We present a case of a 75-year-old patient with acute occlusive mesenteric ischemia that was successfully treated with endovascular intervention.
Angiography revealed high-grade stenosis of the proximal tract of the SMA. Immediate option for endovascular therapy was made, and a MARIS self-expandable 6x40 mm stent was positioned. The patient was discharged 2 days after with full recovery from the symptoms.
Control angiography showed the correct apposition of the stent and regular flow inside. The patient was symptom free 12 months later.
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