Catheter-directed thrombolysis for acute superior mesentery artery occlusion: a case report with long-term clinical follow-up.

摘要

Acute occlusion of the superior mesenteric artery (SMA) can result in devastating consequences, with mortality rates reported to be as high as 70%-90% despite standard therapies of anticoagulation and surgical exploration . We report a case of acute mesenteric ischemia successfully managed with catheter-directed thrombolysis in a patient who remained recurrence-free during 3 years of follow-up. We believe the favorable long-term outcome of this case demonstrates the feasibility of nonoperative management in selected patients with acute SMA occlusion.