Percutaneous Transhepatic Thrombectomy and Pharmacologic Thrombolysis of Mesenteric Venous Thrombosis

Wei, Zhou; Choi, Lorraine; Lin, Peter H.; Dardik, Alan; Eraso, Andrea; Lumsden, Alan B.

doi:10.2310/6670.2007.00013

Cited by 34 publications

(28 citation statements)

References 20 publications

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“…[26] In some studies, thrombolysis and endovascular treatments were attempted in patients diagnosed with MVT and clinical success was reported. [27][28][29][30][31][32] However, there have been no randomized control trials to provide more certain evidence of the effectiveness of these procedures.…”

Section: Discussionmentioning

confidence: 99%

The Management of Mesenteric Vein Thrombosis: A Single Institution Experience

Yanar¹,

Ağcaoğlu²,

Gök³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

The Management of Mesenteric Vein Thrombosis: A Single Institution Experience

Yanar¹,

Ağcaoğlu²,

Gök³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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“…In our study, all patients had anticoagulation treatment with a combination of urokinase and heparin sodium. The prevalence of hemorrhage is high (23%-28%) [21,[35][36][37][38] . Therefore, an emergency treatment including ECG monitoring and blood pressure control for bleeding must be prepared.…”

Section: Discussionmentioning

confidence: 99%

Interventional treatment for symptomatic acute-subacute portal and superior mesenteric vein thrombosis

Liu¹,

Wang²,

Fan³

et al. 2009

WJG

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AIM:To summarize our methods and experience with interventional treatment for symptomatic acute-subacute portal vein and superior mesenteric vein thrombosis (PV-SMV) thrombosis. METHODS:Forty-six patients (30 males, 16 females, aged 17-68 years) with symptomatic acute-subacute portal and superior mesenteric vein thrombosis were accurately diagnosed with Doppler ultrasound scans, computed tomography and magnetic resonance imaging. They were treated with interventional therapy, including direct thrombolysis (26 cases through a transjugular intrahepatic portosystemic shunt; 6 through percutaneous transhepatic portal vein cannulation) and indirect thrombolysis (10 through the femoral artery to superior mesenteric artery catheterization; 4 through the radial artery to superior mesenteric artery catheterization). RESULTS:The blood reperfusion of PV-SMV was achieved completely or partially in 34 patients 3-13 d after thrombolysis. In 11 patients there was no PV-SMV blood reperfusion but the number of collateral vessels increased significantly. Symptoms in these 45 patients were improved dramatically without severe operational complications. In 1 patient, the thrombi did not respond to the interventional treatment and resulted in intestinal necrosis, which required surgical treatment. In 3 patients with interventional treatment, thrombi re-formed 1, 3 and 4 mo after treatment. In these 3 patients, indirect PV-SMV thrombolysis was performed again and was successful. CONCLUSION:Interventional treatment, including direct or indirect PV-SMV thrombolysis, is a safe and effective method for patients with symptomatic acutesubacute PV-SMV thrombosis.

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“…Además, el inicio precoz de la anticoagulación, se asocia a una alta frecuencia de recanalización completa o parcial venosa 21 . Se ha reportado recanalización utilizando trombectomía percutánea transhepática y trombolisis en 2 casos de trombosis venosa mesentérica percutánea, con buenos resultados, pero hace falta tener mayor experiencia en esta área 22 .…”

Section: Discussionunclassified

Pileflebitis asociada a apenaicitis aguda en una niña de 11 años

Subercaseaux¹,

R²,

A³

et al. 2010

Rev Chil Cir

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Pylephlebitis associated to acute appendicitis. Report of an eleven years old patientWe report a 11 years old female who presented fever and pain in the lower abdomen. An abdominal CAT scan showed the presence of an acute appendicitis and a mesenteric vein thrombosis. The patient was operated laparoscopically and received antimicrobials and anticoagulants, with a good evolution. It is important an early suspicion and accurate treatment for this complication.Key words: Acute appendicitis, pylephlebitis, superior mesenteric vein, venous thrombosis. ResumenSe presenta el caso clínico de una paciente de 11 años de edad, que cursa un cuadro febril asociado a dolor abdominal hipogástrico. Se realizan estudios de laboratorio e imágenes y se diagnostica una apendicitis aguda asociada a una trombosis de la vena mesentérica superior. Se efectúa apendicectomía laparoscópica y se administra tratamiento antibiótico y anticoagulante, tras lo cual la paciente evoluciona en buenas condiciones. Es importante una sospecha precoz y un tratamiento adecuado para tratar esta complicación.Palabras clave: Tromboflebitis, apendicitis aguda, pileflebitis, vena mesentérica superior, trombosis venosa. IntroducciónLa Pileflebitis corresponde a la trombosis séptica del sistema venoso portal, asociada a algún proceso infeccioso intraperitoneal. Puede ocurrir en relación a apendicitis aguda, diverticulitis de colon, colangitis, entre otros. Es una complicación infrecuente pero unida a una alta morbimortalidad, ya que puede evolucionar a una sepsis de foco abdominal 1 . Se comunica el caso de una niña de 11 años que presentó un cuadro de apendicitis aguda complicada, asociada a trombosis de la vena mesentérica superior junto con una revisión de la literatura nacional e internacional existente respecto a esta complicación. CASOS CLÍNICOS

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Percutaneous Transhepatic Thrombectomy and Pharmacologic Thrombolysis of Mesenteric Venous Thrombosis

Cited by 34 publications

References 20 publications

The Management of Mesenteric Vein Thrombosis: A Single Institution Experience

The Management of Mesenteric Vein Thrombosis: A Single Institution Experience

Interventional treatment for symptomatic acute-subacute portal and superior mesenteric vein thrombosis

Pileflebitis asociada a apenaicitis aguda en una niña de 11 años

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