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혈전용해치료와 혈관 내 스텐트삽입술로 치료한 상장간막동맥 혈전폐쇄 1예

Other Titles
 A case of Superior Mesenteric Artery Thrombosis Treated with Intra-arterial Urokinase Infusion and Intraluminal Stent Insertion 
Authors
 김명환  ;  이도연  ;  한광협  ;  조덕규  ;  송건훈  ;  전재윤  ;  문영명  ;  김경식 
Citation
 Korean Journal of Gastroenterology, Vol.37(2) : 132-136, 2001 
Journal Title
Korean Journal of Gastroenterology(대한소화기학회지)
ISSN
 1598-9992 
Issue Date
2001
Keywords
Superior mesenteric artery thrombosis ; Urokinase infusion ; Stent insertion
Abstract
Superior mesenteric artery thrombosis usually occurs in an area of severe atherosclerotic narrowing, most often at the origin of the superior mesenteric artery. On angiography, the absence of collateral vessels or the presence of collaterals with inadequate filling of the superior mesenteric artery indicates an acute occlusion and demands prompt intervention. A 44-year-old man presented with epigastric and right upper quadrant pain after eating. Computed tomography and angiography showed superior mesenteric artery thrombosis. After treating with intra-arterial infusion of urokinase and intraluminal stent insertion, the patient showed clinical improvement and near complete resolution of superior mesenteric artery thrombosis. Thus, direct infusion of urokinase into the superior mesenteric artery and angioplasty with stenting for treatment of superior mesenteric artery thrombosis can be the alternative to surgery in selected patients with superior mesenteric artery thrombosis.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Sik(김경식) ORCID logo https://orcid.org/0000-0001-9498-284X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/142032
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