Transcatheter thrombaspiration in acute thrombosis of the superior mesenteric artery

Background: Acute mesenteric ischemia is a surgical problem characterized by extremely high mortality and doesn`t decrease. Description of a clinical case: Two cases of successful treatment of patients with the background of a severe comorbid diseases in acute thrombosis of the superior mesenteric artery using transcatheter thromboaspiration are presented. Results: In the presented clinical cases, minimally invasive treatment was possible. The decision was based on the clinical picture and multispiral computed tomography results, in the absence of clinical and instrumental signs of peritonitis or intestinal wall destruction in MSCT. Despite the successful results, questions for further discussion and study were formulated. Conclusion: Transcatheter thromboaspiration is an effective and safe alternative to open thrombectomy. Postoperative diagnostic laparoscopy is necessary for intraoperative diagnostics of intestinal viability. The timing of diagnostic laparoscopy requires discussion. Today, in patients with suspected acute mesenteric ischemia, with a high level of clinical alertness, the chance for a successful prognosis is based on spiral computed tomography, angiography, endovascular interventions for intestinal revascularization. This treatment should be performed in a multidisciplinary hospital with appropriate technical capabilities, as well as a multidisciplinary team.

acute mesenteric ischemia, acute mesenteric circulatory disorder, endovascular treatment, indocyanine green

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