PMID: 11906420Mar 22, 2002Paper

Management of acute superior mesenteric artery occlusion

ANZ Journal of Surgery
Michael S BarakateMatthew D Sandeman

Abstract

This review examines the surgical management of acute superior mesenteric artery (SMA) occlusion and the impact of interventional radiology techniques. Eight consecutive patients with SMA occlusion were treated at the Lismore Base Hospital, Lismore, NSW, Australia, from 1996 through to 2001 and of these, one patient was managed successfully with catheter-directed lytic therapy. The study group included five male and three female patients with a mean age of 71.3 (range 57-88) years. The records of these patients were reviewed to determine demographic characteristics, clinical features, predisposing factors and the duration of symptoms before intervention, management details and final outcome. Embolic phenomena due to atrial fibrillation were the most frequently identifiable cause of acute SMA occlusion, present in six of eight patients. Seven patients were managed with open surgery in the first instance and of these, four died. Three patients remain alive and well at a mean 2.8 years follow-up. Patient number eight developed acute SMA occlusion from embolism secondary to atrial fibrillation and was managed initially with SMA urokinase thrombolysis. This patient's pain was relieved 1 h after initiation of the procedure. Delayed f...Continue Reading

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Citations

Nov 13, 2010·Langenbeck's Archives of Surgery·Philipp RennerHans J Schlitt
Feb 19, 2008·Cardiology in Review·William H FrishmanGrigory Rozenblit
Dec 15, 2005·Australasian Radiology·R P LimB M Tress
Apr 2, 2013·Annals of Vascular Surgery·Woo-Sung YunSeung Huh
Mar 11, 2005·Journal of Vascular and Interventional Radiology : JVIR·Ivo G SchootsThomas M van Gulik
Dec 8, 2009·Gastrointestinal Endoscopy·Mitsunobu MatsushitaKazuichi Okazaki
Oct 15, 2009·Anesthesiology Clinics·Alexander A Vitin, Julia I Metzner
Oct 29, 2013·International Journal of Surgery·S F SmithP J Murray
Jun 4, 2005·ANZ Journal of Surgery·Anthony J Freeman, John C Graham
Feb 3, 2009·ANZ Journal of Surgery·Gregory O'GradyTimothy D Koelmeyer
Feb 16, 2006·Journal of Vascular Surgery·Mark J RussoJames F McKinsey
Aug 11, 2012·Journal of the Korean Surgical Society·Seung Jae Byun, Byung Jun So
Apr 3, 2016·Vascular and Endovascular Surgery·Yang ZhaoGuangqi Chang
Dec 20, 2007·Journal of Clinical Gastroenterology·Koichiro SonodaShigeru Kohno
Oct 18, 2013·Radiology and Oncology·Dimitrij KuheljPeter Popovic

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