Percutaneous transhepatic thrombectomy and pharmacologic thrombolysis of mesenteric venous thrombosis

Vascular. 2007 Jan-Feb;15(1):41-5. doi: 10.2310/6670.2007.00013.

Abstract

Mesenteric venous occlusion is a rare yet highly morbid condition that is traditionally treated with anticoagulation while surgery serves as the last resort. Percutaneous intervention provides an effective option with relatively low mortality and morbidity. We herein describe use of transhepatic percutaneous thrombectomy and pharmacologic thrombolysis in treating two cases of symptomatic mesenteric venous thrombosis. These cases underscore the fact that transhepatic thrombectomy and thrombolysis are a highly effective strategy for treating acute symptomatic mesenteric venous thrombosis. Several percutaneous techniques are also reviewed.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Fibrinolytic Agents / administration & dosage
  • Humans
  • Infusions, Parenteral / methods
  • Male
  • Mesenteric Vascular Occlusion / etiology
  • Mesenteric Vascular Occlusion / therapy
  • Mesenteric Veins / diagnostic imaging
  • Mesenteric Veins / surgery*
  • Middle Aged
  • Portal Vein / diagnostic imaging
  • Portal Vein / surgery
  • Thrombectomy / methods*
  • Thrombolytic Therapy / methods*
  • Tissue Plasminogen Activator / administration & dosage
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome
  • Venous Thrombosis / drug therapy
  • Venous Thrombosis / surgery
  • Venous Thrombosis / therapy*

Substances

  • Fibrinolytic Agents
  • Tissue Plasminogen Activator