IVR for SMA Thrombosis of Elder Male

Megumi Nakamura and Hajime Kitagaki

Department of Radiology, Shimane University, Japan

^*Correspondance to: Megumi Nakamura 

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Abstract:

Recently, mortality rates for super mesenteric artery (SMA) thrombosis have been on the rise. Several papers on interventional radiology (IVR) for SMA thrombosis have been written. When a quick diagnosis is made relative to the time of on set, flow recovery is expected following IVR for SMA thrombosis without intestinal resection. This case involved IVR used for thrombo-aspiration and thrombolysis of a male, 100 years of age, who had SMA thrombosis with almost completely obstructed blood flow. First, by using thrombo-aspiration for the occluded artery, blood flow was somewhat recovered. Second, continuous thrombolysis was performed for three days. The patient reported that he was having stomach pains after SMA flow recovered. After aspiration of the thrombus, a dose of urokinase (240,000U/10cc) was administered. During arterial infusion, urokinase (240,000U) was administered for between two to three days. The sheath was withdrawn on the fourth day. Anti-coagulation was maintained for 160 seconds during arterial infusion therapy. The patient was discharged after 24 days.

Keywords:

SMA thrombosis; Thrombolysis; Thrombo-aspiration

Cite the Article:

Nakamura M, Kitagaki H. IVR for SMA Thrombosis of Elder Male. Ann Clin Case Rep. 2016; 1: 1123.