| 篇名 |
Percutaneous Stenting of an Isolated Spontaneous Dissection of the Superior Mesenteric Artery in a Hybrid Operating Room:Report of a Case |
| 作者 |
Chung-Ben Kan, Rei-Yeuh Chang, Ruey-Sheng Chang, Chun-Lin Huang |
| 卷期/出版年月 |
44卷2期 (2011/4) |
| 頁次 |
65-69 |
| 摘要 |
A 54-year-old man with the initial diagnosis of thrombosis of the superior mesenteric
artery (SMA) was referred to our hospital after a failure of conservative
anticoagulant management for 3 days. Contrast-enhanced spiral computed
tomography (CT) was used for diagnosis. Catheter-directed thrombolysis was then
performed with little improvement of his symptoms of mesenteric ischemia. Severe
abdominal pain, back pain and cold sweating occurred 3 days after thrombolysis. A
repeated CT scan revealed further SMA dissection with true lumen compromise.
Endovascular treatment was performed to restore the flow of the SMA. A Wallstent
was deployed percutaneously and it successfully reestablished SMA patency. The
postoperative course was uneventful, and the patient remained asymptomatic with a
patent SMA stent 3 months after the procedure. To our knowledge, this is the first
report of percutaneous stenting for the isolated spontaneous dissection of the SMA
performed in the operating room (OR) with a C-arm, and provides more
imagination about what a hybrid OR can do. |
| 關鍵詞 |
hybrid operating room, mesenteric ischemia, percutaneous endovascular stent placement, spontaneous dissection, superior mesenteric artery |
| 分類 |
Case Report |
