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Percutaneous aspiration embolectomy of superior mesenteric artery using a 5MAX ACE reperfusion catheter

Hironori Kikuchi1, Ichiro Ikushima1, Hajime Ohta2

  • 1Department of Radiology, Miyakonojo Medical Association Hospital, Miyakonojo, Japan.

BJR Case Reports
|November 22, 2018
PubMed

Insights

Prompt treatment for acute mesenteric ischaemia is vital. A novel catheter, typically used for cerebral embolism, successfully removed a superior mesenteric artery (SMA) thrombus, offering a new treatment option.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Acute mesenteric ischaemia (AMI) is a critical condition with high mortality.
  • Timely diagnosis and intervention are essential for patient survival and preventing bowel infarction.

Observation:

  • A case of AMI caused by a superior mesenteric artery (SMA) embolism was treated.
  • A 5MAX ACE reperfusion catheter, originally designed for cerebral artery embolism, was utilized.

Findings:

  • The catheter enabled near-complete thrombus removal from the main trunk of the SMA.
  • This represents the first documented use of this specific catheter for treating AMI.

Implications:

  • Percutaneous aspiration embolectomy with this catheter is a viable treatment for SMA embolic occlusion.
  • This technique offers a potential new therapeutic approach for acute mesenteric ischaemia.
  • The findings suggest broader applicability of the catheter beyond cerebral applications.

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