RESUMEN

Three patients were seen with acute mesenteric venous thrombosis. With a transhepatic access, percutaneous pharmacologic thrombolysis was performed in one patient with extensive thrombosis of the portal and mesenteric veins, resulting in complete thrombolysis of the portal vein and partial thrombolysis of the superior mesenteric vein. In two patients with focal thrombosis, the use of mechanical devices achieved complete thrombolysis. Percutaneous thrombolysis of portal and mesenteric veins with a transhepatic approach, followed by coil embolization, is a promising endovascular technique for treatment of symptomatic acute mesenteric venous thrombosis.

Asunto(s)

Embolización Terapéutica , Oclusión Vascular Mesentérica/terapia , Terapia Trombolítica , Trombosis de la Vena/terapia , Adulto , Femenino , Humanos , Masculino , Venas Mesentéricas , Persona de Mediana Edad , Activadores Plasminogénicos/uso terapéutico , Terapia Trombolítica/métodos , Tomografía Computarizada por Rayos X , Activador de Plasminógeno de Tipo Uroquinasa/uso terapéutico