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  • Title: [Intra-arterial fibrinolysis of superior mesenteric artery embolism].
    Author: Rodde A, Peiffert B, Bazin C, Amrein D, Regent D, Mathieu P.
    Journal: J Radiol; 1991 Apr; 72(4):239-42. PubMed ID: 2072342.
    Abstract:
    Intra arterial fibrinolysis for acute mesenteric embolism. Acute mesenteric ischemia has a poor prognosis because the diagnosis is often too late (greater than 12 h), leading to a difficult surgery in old patients. The lesions of the bowel don't always allow a single operative embolectomy but often need a resection when there is a long time interval between onset of symptoms and therapy. We report a case of acute embolism in the superior mesenteric artery with the clot located in its terminal part. A rapid diagnosis was made by arteriography and intra-arterial fibrinolysis was attempted with success permitting the complete cure of the affection, without sequellae. This treatment is only likely to be successful if it is carried out within 10-12 hours of the onset of clinical signs and symptoms.
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