{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:57:00Z","timestamp":1777467420530,"version":"3.51.4"},"reference-count":42,"publisher":"Walter de Gruyter GmbH","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t\t\t\t<jats:p><jats:bold>Background.<\/jats:bold> The present series present three consecutive cases of successful percutaneous mechanical embolectomy in acute superior mesenteric artery ischemia. Superior mesenteric artery embolism is a rare abdominal emergency that commonly leads to bowel infarction and has a very high mortality rate. Prompt recognition and treatment are crucial for successful outcome. Endovascular therapeutic approach in patients with acute SMA embolism in median portion of its stem is proposed.<\/jats:p>\n\t\t\t\t<jats:p><jats:bold>Case reports.<\/jats:bold> Three male patients had experienced a sudden abdominal pain and acute superior mesenteric artery embolism in median portion of its stem was revealed on computed tomography angiography. No signs of intestinal infarction were present. The decision for endovascular treatment was made in concordance with the surgeons. In one patient 6 French gauge Rotarex\u00ae device was used while in others 6 French gauge Aspirex\u00ae device were used. All patients experienced sudden relief of pain after the procedure with no signs of intestinal infarction. Minor procedural complication - rupture of a smaller branch of SMA during Aspirex\u00ae treatment was successfully managed by coiling while transient paralytic ileus presented in one patient resolved spontaneously. All three patients remained symptom-free with patent superior mesenteric artery during the follow-up period.<\/jats:p>\n\t\t\t\t<jats:p><jats:bold>Conclusions.<\/jats:bold> Percutaneous mechanical thrombectomy seems to be a rapid and effective treatment of acute superior mesenteric artery embolism in median portion of its stem in absence of bowel necrosis. Follow-up of our patients showed excellent short- and long-term results.<\/jats:p>","DOI":"10.2478\/raon-2013-0029","type":"journal-article","created":{"date-parts":[[2013,7,31]],"date-time":"2013-07-31T20:13:40Z","timestamp":1375301620000},"page":"239-243","source":"Crossref","is-referenced-by-count":22,"title":["Percutaneous mechanical thrombectomy of superior mesenteric artery embolism"],"prefix":"10.2478","volume":"47","author":[{"given":"Dimitrij","family":"Kuhelj","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pavel","family":"Kavcic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Popovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","reference":[{"key":"ref301","doi-asserted-by":"crossref","first-page":"2948","DOI":"10.1007\/s00330-010-1859-7","article-title":"Primary percutaneous aspiration and thrombolysis for the treatment of acute embolic superior mesenteric artery occlusion","volume":"20","author":"Heiss","year":"2010","journal-title":"Eur Radiol"},{"key":"ref381","first-page":"326","article-title":"Diagnosis and management of intestinal ischemic disorders","volume":"15","author":"Jayaprakash","year":"2003"},{"key":"ref441","article-title":"Thrombolysis for acute occlusion of the superior mesenteric artery","volume":"21","author":"Bj\u00f6rnsson","year":"2011","journal-title":"J Vasc Surg"},{"key":"ref281","first-page":"188","article-title":"AT Surgical therapy for acute superior mesenteric artery embolism","author":"Bingol","year":"2004","journal-title":"Am J Surg"},{"key":"ref11","first-page":"1","article-title":"in mesenteric ischemia part Role in diagnosis and differential diagnosis","author":"Shih","year":"2007","journal-title":"Am J Roentgenol"},{"key":"ref41","first-page":"188","article-title":"AT Surgical therapy for acute superior mesenteric artery embolism","author":"Bingol","year":"2004","journal-title":"Am J Surg"},{"key":"ref391","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1016\/j.jvs.2010.05.084","article-title":"and open surgery for acute occlusion of the superior mesenteric artery","volume":"16","author":"Block TA","year":"2010","journal-title":"J Vasc Surg"},{"key":"ref101","first-page":"53","article-title":"comparison of endovascular revascularization with traditional therapy for the treatment of acute mesenteric ischemia","volume":"11","author":"Arthurs","year":"2011","journal-title":"J Vasc Surg"},{"key":"ref51","first-page":"862","article-title":"Direct aspiration using rapid - 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