Portal and superior mesenteric venous thrombosis treated with thrombolytic therapy via the superior mesenteric artery and vein

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  • 上腸間膜動静脈双方からの血栓溶解療法を施行した門脈・上腸間膜静脈血栓症の1例

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A 61-year-old man was hospitalized for treatment of portal and superior mesenteric venous thrombosis (PSMVT). We selected interventional radiology (IVR) because there were no signs of intestinal necrosis. The thrombosis was significantly reduced and the patient made progress after we performed thrombectomy via catheter aspiration, and thrombolytic therapy via both the superior mesenteric artery and vein. Even if there are no signs of intestinal necrosis, treatment which prevents intestinal necrosis is vital. In the present case, single-stage IVR therapy via both the superior mesenteric artery and vein improved the therapeutic outcome of PSMVT.<br>

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