Abstract
Acute mesenteric ischaemia is a rare abdominal emergency that commonly results in bowel infarction and has a very high mortality rate. Therefore, prompt recognition and treatment are crucial for a successful outcome. A thrombectomy for embolism in the mid portion of the main trunk of the superior mesenteric artery (SMA) is proposed. A near-complete thrombi removal from the main trunk of the SMA was achieved by using a 5MAX ACE reperfusion catheter, which was designed for treating cerebral embolism. This is the first report describing the treatment of acute mesenteric ischaemia using this catheter. Percutaneous aspiration embolectomy with this catheter is a useful modality for recanalization of embolic occlusion of not only the cerebral artery but also the SMA.
Highlights
Acute mesenteric ischaemia (AMI) is a serious but relatively infrequent abdominal emergency that is characterized by sudden interruption of intestinal blood flow that commonly results in bowel infarction and an increased risk of cardiovascular events, in the elderly
In several endovascular strategies, such as percutaneous aspiration embolectomy, thrombolysis, percutaneous transluminal angioplasty, primary superior mesenteric artery (SMA) stenting, the main percutaneous method is aspiration embolectomy, in which the thrombus is removed by suction
The 5MAX ACE reperfusion catheter (Penumbra, Inc., Alameda, CA), a new large bore aspiration catheter that is available for vessel recanalization, was launched in July 2013.4 We report the use of this catheter for successfully treating a patient who had developed AMI
Summary
Acute mesenteric ischaemia (AMI) is a serious but relatively infrequent abdominal emergency that is characterized by sudden interruption of intestinal blood flow that commonly results in bowel infarction and an increased risk of cardiovascular events, in the elderly. The use of percutaneous thrombectomy has been reported.[3] In several endovascular strategies, such as percutaneous aspiration embolectomy, thrombolysis, percutaneous transluminal angioplasty, primary superior mesenteric artery (SMA) stenting, the main percutaneous method is aspiration embolectomy, in which the thrombus is removed by suction.
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