IRIS Institutional Research Information System - OPENBS Open Archive UniBS

Superior mesenteric artery emboli during renal PTA: successful surgical treatment after fibrinolysis failure.

BONARDELLI, Stefano;POUCHE', Antonio;GIULINI, Stefano Maria
1994-01-01
1994
Ateneo di appartenenza
LS7_7 Surgery
LS7_6 Gene therapy, stem cell therapy, regenerative medicine
JOURNAL OF CARDIOVASCULAR SURGERY
2-s2.0-0028276169
WOS:A1994NP18500014
Inglese
35
169
171
2
8195280
The paper presents a rare case of iatrogenic embolization of the superior mesenteric artery which required an emergency operation after an unsuccessful fibrinolytic treatment. An old woman, who had undergone renal percutaneous angioplasty (r-PTA), presented sudden but transient abdominal pain. Angiographic control of the angioplasty showed the goal of r-PTA but also an embolic occlusion of the main trunk of the superior mesenteric artery that did not respond to a selective fibrinolytic treatment. Within a few hours, the abdominal pain appeared again and induced an exploratory laparotomy which showed an extensive ischaemia of the whole jejunum. A successful embolectomy was performed associated with the resection of about 20 cm of necrotic jejunum. The postoperative period was uncomplicated. The case underlines several topics: close collaboration is necessary between interventional radiologists and surgeons in order to get a surgical "stand-by" during PTA procedures; the embolic occlusion of the superior mesenteric artery can produce irreversible, even if segmentary intestinal damage, also within a very short time after onset and, therefore, it seems to be at high risk for a fibrinolytic approach.
Aged; 80; Angioplasty; Balloon; Embolism; Female; Humans; Mesenteric Artery; Superior; Mesenteric Vascular Occlusion; Renal Artery Obstruction; Urokinase-Type Plasminogen Activator; and over
5
info:eu-repo/semantics/article
262
Bonardelli, Stefano; L., Cangiotti; D., Pinelli; Pouche', Antonio; Giulini, Stefano Maria
1 Contributo su Rivista::1.1 Articolo in rivista
none
1.1 Articolo in rivista
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11379/30891
Citazioni
  • ???jsp.display-item.citation.pmc??? 2
  • Scopus 9
  • ???jsp.display-item.citation.isi??? 8
social impact