Percutaneous Treatment of Liver Failure and Acute Mesenteric Ischaemia

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• 作者：E.M. San Norberto^a ; ^{esannorberto@hotmail.com} ; V.M. Gutié ; rrez^a ; J.A. Gonzá ; lez-Fajardo^a ; J. Chehayeb^b ; M.A. Ibá ; ñ ; ez^a ; C. Vaquero^a
• 关键词：Coeliac artery ; Superior mesenteric artery ; Acute liver failure ; Mesenteric vascular disease ; Angioplasty ; Stent
• 刊名：European Journal of Vascular and Endovascular Surgery
• 出版年：2012
• 出版时间：January 2012
• 年：2012
• 卷：43
• 期：1
• 页码：35-37
• 全文大小：409 K

文摘

Introduction

Synchronous embolism to the superior mesenteric artery (SMA) and coeliac axis (CA) is a rare disease.

Report

A 67-year-old man with atrial fibrillation developed acute liver failure due to an embolic occlusion of the CA and SMA, with a severe coagulation disorder. He was successfully managed with percutaneous stent placement and an exploratory laparotomy was not needed. He remains symptom-free 1 year after the procedure, and duplex follow-up showed stent patency.

Conclusion

Endovascular techniques in patients with liver failure, no signs of peritonism, early diagnosis and high operative risk seem feasible and should be used if possible, as first-line option.