Successful treatment of superior mesenteric artery thrombosis via preoperative interventional radiology and surgery using indocyanine green fluorescence
| Autor: | Takeharu Imai, Tomonari Suetsugu, Itaru Yasufuku, Yuta Sato, Yoshinori Iwata, Yoshihiro Tanaka, Nobuhisa Matsuhashi, Masahiro Fukada, Takao Takahashi, Kazuhiro Yoshida, Hisashi Imai, Naoki Okumura, Junichi Mase |
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| Rok vydání: | 2021 |
| Předmět: |
Indocyanine Green
Male medicine.medical_specialty Abdominal pain Radiology Interventional Fluorescence 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Mesenteric Artery Superior medicine.artery medicine Humans Superior mesenteric artery Thrombus Aged medicine.diagnostic_test business.industry Gastroenterology Thrombosis Interventional radiology General Medicine Blood flow medicine.disease Colorectal surgery Surgery chemistry 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology medicine.symptom business Indocyanine green Abdominal surgery |
| Zdroj: | Clinical Journal of Gastroenterology. 14:769-775 |
| ISSN: | 1865-7265 1865-7257 |
| Popis: | We report a successful case that offered a symbolic therapeutic experience of interventional radiology and surgery collaboration for superior mesenteric artery thrombosis. A 70-year-old man presented with a chief complaint of sudden abdominal pain. Contrast-enhanced computed tomography revealed superior mesenteric artery thrombosis. Interventional radiology was performed, and thrombotic occlusion was observed in the superior mesenteric artery trunk. The abdominal pain disappeared; however, after a while, the thrombus re-formed and the abdominal pain reappeared. Thus, emergency surgery was performed. Before surgery, thrombus aspiration was performed via interventional radiology as much as possible. During surgery, when the blood flow was evaluated using fluorescence with indocyanine green, a region of markedly poor blood flow was detected in the ileum, and the area was excised. The postoperative course was favorable. In this patient, it is possible that preoperative removal of the thrombus via interventional radiology minimized the ischemic area of the intestinal tract, and blood flow evaluation using indocyanine green allowed reliable excision of only the ischemic area. We believe that our case involved a treatment that exploited the advantages of both interventional radiology and surgery using indocyanine green fluorescence. |
| Databáze: | OpenAIRE |
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