PMC6243320_01
Curved multiplanar reconstruction of CT angiography showing a segmental occlusive acute embolism of the mid portion of the main trunk of superior mesenteric artery proximal to the ileocolic artery (arrows).
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Contrast-enhanced CT angiography (CTA) revealed segmental occlusion of the mid portion of the main trunk of the SMA proximal to the ileocolic artery (Figure 1).
Successful treatment of a segmental complete thrombotic occlusion of the mid portion of the superior mesenteric artery trunk by primary aspiration thrombectomy. (a) Superior mesenteric artery arteriography showing a complete thrombotic occlusion of the mid portion of the main trunk. (b, c) Complete removal of the thromboembolism from the main trunk. There was no migration of thrombi after repetitive primary aspiration thrombectomy using the 5MAX ACE reperfusion catheter.
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Initial SMA angiography confirmed acute occlusion in the mid portion of the SMA trunk (Figure 2a). Final contrast injection after five passes demonstrated near complete resolution of the thrombus from the main trunk of the SMA (Figure 2b,c).
Penumbra system. (a) 5MAX ACE reperfusion catheter, which was designed for treating cerebral embolism. (b) Penumbra aspiration pump and aspiration tubing.
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Mechanical suction was applied to the 5MAX ACE using a Penumbra aspiration pump and aspiration tubing (Penumbra, Inc., Alameda, CA) (Figure 3).