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World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2015

Open Access 01-12-2015 | Research article

Transcatheter thrombolysis combined with damage control surgery for treatment of acute mesenteric venous thrombosis associated with bowel necrosis: a retrospective study

Authors: Kai Liu, Jiaxiang Meng, Shuofei Yang, Baochen Liu, Weiwei Ding, Xingjiang Wu, Jieshou Li

Published in: World Journal of Emergency Surgery | Issue 1/2015

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Abstract

Objective

This study aims to evaluate the clinical outcomes of transcatheter thrombolysis in acute superior mesenteric venous thrombosis (ASMVT) associated with bowel necrosis.

Methods

A retrospective study of six patients with ASMVT treated with catheter-directed thrombectomy/thrombolysis and damage control surgery at Jinling Hospital (Nanjing, China) between 2010 and 2013 was conducted. Demographics, past medical history, risk factors, therapeutic methods and effects, mortality, and follow-up of the study population were assessed.

Results

Five of six patients underwent arteriovenous combined thrombolysis, while one patient underwent arterial thrombolysis. All patients required damage control surgery, and four of these patients underwent temporary abdominal closure. All patients survived and were free of recurrence.

Conclusions

Transcatheter thrombectomy/thrombolysis and damage control surgery could help avoid extensive bowel resection, prevent short bowel syndrome and reduce mortality for critically ill patients with acute mesenteric venous thrombosis associated with bowel necrosis.
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Metadata
Title
Transcatheter thrombolysis combined with damage control surgery for treatment of acute mesenteric venous thrombosis associated with bowel necrosis: a retrospective study
Authors
Kai Liu
Jiaxiang Meng
Shuofei Yang
Baochen Liu
Weiwei Ding
Xingjiang Wu
Jieshou Li
Publication date
01-12-2015
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2015
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/s13017-015-0045-2

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