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Endovascular repair for acute mesenteric ischemia: case report
BMC Geriatrics volume 11, Article number: A17 (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.
We suggest that the endovascular technique is a valid option in patients with AMI preventing intestinal infarction.
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Fiengo, L., Paciotti, C., Patrizi, G. et al. Endovascular repair for acute mesenteric ischemia: case report. BMC Geriatr 11, A17 (2011). https://doi.org/10.1186/1471-2318-11-S1-A17
- Venous Thrombosis
- Superior Mesenteric Artery
- Endovascular Intervention
- Mesenteric Ischemia
- Endovascular Therapy