PMC6718363_01
Computed tomography with intravenous contrast showing SMA occlusion.
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Then computed tomography with intravenous contrast was performed (Fig. 1).
The angiograms of SMA. (2.1). Pretreatment angiogram: occlusion of SMA. (2.2). The guidewire is advanced behind the occlusion. (2.3-2.4). After thrombus aspiration and stenting; bloodflow in SMA is restored.
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The angiogram was performed showing proximal SMA occlusion in 35 mm from its arising (Fig. 2 (2.1)). 10,000 IU of heparin were administered intra-arterial. The guidewire (Hi-Torque Whisper ES, Abbott) was inserted through the occlusion into the distal segment of SMA (Fig. 2 (2.2)). Thrombus was aspired with extraction catheter (QuickCat, Spectranetics), and blood clots were removed (Fig. 3). The control angiography showed a satisfactory result; residual stenosis and vessel dissection were not detected (Fig. 2 (2.3), (2.4)).
The specimen-aspired thrombus.
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The guidewire (Hi-Torque Whisper ES, Abbott) was inserted through the occlusion into the distal segment of SMA (Fig. 2 (2.2)). Thrombus was aspired with extraction catheter (QuickCat, Spectranetics), and blood clots were removed (Fig. 3).
Diagnostic laparoscopy with indocyanine green imaging showing satisfactory bowel perfusion.
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We observed the bowel using the OPAL1 System (Karl Storz) (Fig. 4).