Percutaneous Mechanical Thrombectomy Treatment of Acute Superior Mesenteric Artery Embolism

Zhang, Z.; Chen, X.; Zhu, Rong

doi:10.1016/j.ejvssr.2016.12.002

Cited by 11 publications

(9 citation statements)

References 13 publications

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“…In addition to peripheral limb arteries, Rotarex was also used in abdominal cavity artery. 15 Zhang et al 16 showed a case report about a 61-year-old woman diagnosed with superior mesenteric artery embolism. This patient was treated by percutaneous mechanical thrombectomy using a 6 F Rotarex system, and the result showed that the patient's symptoms were significantly relieved and no post-operative complications were observed and no discomfort was documented during follow-up.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous mechanical thrombectomy using Rotarex catheter in peripheral artery occlusion diseases – Experience from a single center

Liu

Huang

et al. 2018

Vascular

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Aims The aim of this retrospective single-center study was to analyze the immediate results, failures and complications of percutaneous mechanical thrombectomy using the Rotarex catheter in the treatment of peripheral artery occlusion. Methods In this study, we identified a total of 42 patients who underwent mechanical thrombectomy using Rotarex catheter at our institution. Procedural outcomes and complications were evaluated. Results The cohort consisted of 42 patients (31 men and 11 women), aged 32–93 years (median 68 years). The number of external iliac artery occlusion was 5, with common femoral artery 5, superficial femoral artery 28, femoral profound artery 2, popliteal artery 12, and brachial artery 2. The causes of occlusion were thrombosis (29 cases, 69%), embolism (6 cases, 14%), and reocclusion after percutaneous intervention (7 cases, 17%). We achieved primary success in 100% of the patients with mechanical thrombectomy, associated with balloon angioplasty (40/42, 95.2%) and stent deployment (16/42, 38.1%). The median time of the interventional procedure was 145 min. We encountered lower percentage of distal embolization (2.4%) and artery dissection (2.4%) during usage of Rotarex catheter in our cohort. Conclusions Rotarex thrombectomy was a useful tool to recanalize occluded vessels with additional treatment such as balloon angioplasty or stent deployment, with a low rate of failures and complications. And prospective studies in this issue are recommended.

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Section: Discussionmentioning

confidence: 99%

Percutaneous mechanical thrombectomy using Rotarex catheter in peripheral artery occlusion diseases – Experience from a single center

Liu

Huang

et al. 2018

Vascular

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“…For this purpose, successful results were obtained with rotarex, aspirex, and angiojet system. [18][19][20] Because we did not have hydrodynamic devices in our hospital, we performed manual aspiration embolectomy with a large diameter catheter in all patients.…”

Section: Discussionmentioning

confidence: 99%

In-Hospital and Short-Term Outcomes of Endovascular Treatment in Patients With Acute Thromboembolic Occlusion of the Superi̇or Mesenteri̇c Artery

et al. 2021

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Objectives: To investigate the outcome of endovascular treatment in acute thromboembolic occlusion of the superior mesenteric artery. Methodology: Eighteen consecutive patients who underwent endovascular treatment in acute thromboembolic occlusion of the superior mesenteric artery from January 2013 to September 2019 were included in the study. Thirty-day mortality, avoidance of laparotomy, angiographic success, length of hospital stay and complication rates were assessed. Results: The patients were 46 to 87 (70.5 ± 13.0) year-old, and 9 (50%) were male. In our study, 30-day mortality rate was 33.3%. The remaining patients were discharged uneventfully. Our complete and partial success rates was 61.1% and 38.9% respectively on angiographic assessment. The mean length of hospital stay was 7.8 ± 5.0 days in the remaining patients. Short bowel syndrome, respiratory failure requiring mechanical ventilation support or renal failure requiring dialysis were not observed in remaining patients. Laparotomy was needed for eight patients after endovascular treatment. Conclusion: The data showed that endovascular treatment is a technically feasible, effective and reliable alternative treatment method in a selected group of patients with acute thromboembolic occlusion of the superior mesenteric artery.

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“…However, as far as we know, there are only few reports of using percutaneous mechanical thrombectomy in SMAE. Zhang et al 17 reported that PMT by the Rotarex system is a minimally invasive, safe, and effective treatment in SMAE. There are many different devices in PMT for thrombectomy.…”

Section: Discussionmentioning

confidence: 99%

Acute Superior Mesenteric Artery Embolism treated with Percutaneous Mechanical Thrombectomy: Preliminary application and Experience

Xu¹,

Wang²,

Wang³

et al. 2020

Preprint

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Background: Acute superior mesenteric artery embolism is a life-threatening disease and the prognosis is very poor. Few reports have described the application of Percutaneous Mechanical Thrombectomy in Acute superior mesenteric artery embolism. In the article, we show a series of cases treated with Percutaneous Mechanical Thrombectomy and share our experience. Methods: Review and analyze seven patients with acute superior mesenteric artery embolism treated by Angiojet Ultra thrombectomy system in our institution. Based on the literature, we summarize the diagnosis, treatment and surgical experience of acute superior mesenteric artery embolism. Results: Percutaneous Mechanical Thrombectomy were achieved successfully in all the patients without surgical complication occurred. Five patients’ symptoms relieved significantly and smoothly discharged from the hospital. Two patients still complained of abdominal pain after operation. One patient underwent surgical laparotomy and intestinal resection and the other one abandoned surgical treatment. During the first six months of follow-up, six patients were free of any clinical symptoms or signs and one patient who refused laparotomy died two days later with septic shock. Conclusion: Percutaneous Mechanical Thrombectomy by Angiojet Ultra thrombectomy system is a safe, effective and minimally invasive method in the initial stage of acute superior mesenteric artery embolism. We believe Percutaneous Mechanical Thrombectomy could be a promising alternative in selected cases. Furthermore, large sample data and long term follow-up are needed to verify its effect.

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Percutaneous Mechanical Thrombectomy Treatment of Acute Superior Mesenteric Artery Embolism

Cited by 11 publications

References 13 publications

Percutaneous mechanical thrombectomy using Rotarex catheter in peripheral artery occlusion diseases – Experience from a single center

Percutaneous mechanical thrombectomy using Rotarex catheter in peripheral artery occlusion diseases – Experience from a single center

In-Hospital and Short-Term Outcomes of Endovascular Treatment in Patients With Acute Thromboembolic Occlusion of the Superi̇or Mesenteri̇c Artery

Acute Superior Mesenteric Artery Embolism treated with Percutaneous Mechanical Thrombectomy: Preliminary application and Experience

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