PERCUTANEOUS MECHANICAL THROMBECTOMY: A NEW TOOL IN THE TREATMENT OF ACUTE MESENTERIC ISCHEMIA.
Vânia Fernandes, João Vasconcelos, José Vidoedo et al.
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Case in brief
An 82-year-old woman with atrioventricular block, hypertension, and dementia presented with acute abdominal pain that had begun three days earlier. Angio-CT confirmed ischemic colitis secondary to acute superior mesenteric artery occlusion. She underwent endovascular revascularization by percutaneous mechanical thrombectomy through left brachial access using the Rotarex system. Her symptoms improved, and she was discharged on day 6 without exploratory laparotomy.
What made this case unusual
The report describes treatment of acute superior mesenteric artery occlusion with the Rotarex mechanical thrombectomy system via left brachial access, with clinical improvement and no need for exploratory laparotomy.
Diagnostic / clinical pearl
In a patient with acute abdominal pain, angio-CT can confirm superior mesenteric artery occlusion and associated ischemic colitis, supporting prompt assessment for revascularization.