Abdel-Aal Ahmed Kamel, Ezzeldin Islam B, Hamed Maysoon Farouk, Ibrahim Rafik Mohamed, Berry Max, Underwood Edgar S, Saddekni Souheil
Department of Radiology, University of Alabama at Birmingham, Birmingham, AL, USA
Department of Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.
Vasc Endovascular Surg. 2014 Oct-Nov;48(7-8):460-5. doi: 10.1177/1538574414547087. Epub 2014 Sep 25.
We report a case of extensive acute portal vein thrombosis (PVT) presenting with severe diffuse abdominal pain and impending small bowel infarction. The patient was successfully treated with ultrasound-accelerated catheter-directed thrombolysis (EKOS endowave system; Covidien, Mansfield, Massachusetts), which resulted in prompt recanalization of his portal vein (PV) and its tributaries. The patient eventually had ischemic stricture that necessitated bowel resection. However, we believe that our technique was successful in rapidly restoring the patency of the PV and its tributaries, and therefore, avoiding a life-threatening complication of more extensive bowel infarction. To our knowledge, the use of ultrasound-accelerated thrombolysis in treatment of PVT has not been previously described in the literature.
我们报告一例广泛急性门静脉血栓形成（PVT）患者，其表现为严重的弥漫性腹痛且即将发生小肠梗死。该患者成功接受了超声加速导管定向溶栓治疗（EKOS endowave系统；柯惠医疗，马萨诸塞州曼斯菲尔德），这使得其门静脉（PV）及其分支迅速再通。患者最终出现缺血性狭窄，需要进行肠切除。然而，我们认为我们的技术成功地迅速恢复了PV及其分支的通畅，从而避免了更广泛肠梗死这一致命并发症。据我们所知，超声加速溶栓治疗PVT此前在文献中尚未有描述。
