Abstract

Percutaneous intervention is increasingly being used as an adjunct or alternative to surgical therapy for the treatment of acute, symptomatic, mesenteric venous thrombosis and noncavernous, chronic, portal vein thrombosis. The authors' review of the literature revealed 16 cases of acute mesenteric venous thrombosis and 38 cases of chronic portal vein thrombosis that have been treated with thrombolytic therapy, mechanical recanalization, or a combination of these two therapies. This article reviews the diagnosis and management of patients with mesenteric venous thrombosis, the literature which describes percutaneous intervention for management of this condition, and presents the authors' early experience and preliminary conclusions. Percutaneous intervention is increasingly being used as an adjunct or alternative to surgical therapy for the treatment of acute, symptomatic, mesenteric venous thrombosis and noncavernous, chronic, portal vein thrombosis. The authors' review of the literature revealed 16 cases of acute mesenteric venous thrombosis and 38 cases of chronic portal vein thrombosis that have been treated with thrombolytic therapy, mechanical recanalization, or a combination of these two therapies. This article reviews the diagnosis and management of patients with mesenteric venous thrombosis, the literature which describes percutaneous intervention for management of this condition, and presents the authors' early experience and preliminary conclusions.

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