Abstract

Abbreviations: SMA superior mesenteric artery, SMV superior mesenteric vein, TPA plasminogen activator ACUTE mesenteric vein thrombosis can be caused by a variety of factors including cirrhosis, neoplastic disease, intra-abdominal inflammatory diseases (most commonly pancreatitis), and hypercoagulable states (1). The clinical presentation can be varied and includes abdominal pain, nausea, vomiting, melena, or diarrhea (2). Recent advances in mechanical thrombectomy devices, such as the AngioJet catheter (3), have produced a new set of therapeutic options for treatment of vascular thrombosis. We present our experience using the AngioJet catheter to achieve rapid restoration of portal venous flow in a patient with acute thrombosis of the portal and superior mesenteric veins.

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