Successful vascular interventional management of superior mesenteric vein thrombosis in a patient with COVID-19: A case report and review of literature.

Autor:	Ebrahiminik H; Department of Interventional Radiology and Radiation Sciences Research Centre, AJA University of Medical Sciences, Tehran Iran., Nikpour S; Department of Adult Gastroenterology and Hepatology, School of Medicine, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Yazdi HR; Medical imaging center, Imam Khomeini hospital, Tehran University of Medical Sciences., Mohammadi A; Department of Radiology, Urmia University of Medical Sciences, Urmia, Iran., Mirza-Aghazadeh-Attari M; Medical Radiation Sciences Research Group, Tabriz University of Medical Sciences, Tabriz, Iran.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2021 Jun; Vol. 16 (6), pp. 1539-1542. Date of Electronic Publication: 2021 Mar 24.
DOI:	10.1016/j.radcr.2021.03.038
Abstrakt:	Coronavirus disease (COVID-19) is associated with thrombosis formation in various vessels, including those in the abdomen. In this case report, we present a COVID-19 infected patient who had developed abdominal discomfort. The patient underwent magnetic resonance imaging, which showed signs of thrombosis formation in the superior mesenteric vein (SMV). After conservative treatment failed, the patient was considered for vascular intervention. The SMV clot underwent thrombolysis via the infusion of reteplase (dose 6 mg stat, followed by 1 mg every hour) through a 5F perfusion Cather (Cragg-McNamara, 20 cm). Control venography showed near-complete recanalization. The patient was discharged with oral anticoagulants. Our case report is one of the first incidents of successful vascular intervention in SMV thrombosis in the setting of COVID-19. (© 2021 Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
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