Treatment of portal venous thrombosis with selective superior mesenteric artery infusion of recombinant tissue plasminogen activator E.A Henao, MD, W.Todd.

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Presentation transcript:

Treatment of portal venous thrombosis with selective superior mesenteric artery infusion of recombinant tissue plasminogen activator E.A Henao, MD, W.Todd Bohannon, MD, M.B Silva, MD Journal of Vascular Surgery Volume 38, Issue 6, Pages 1411-1415 (December 2003) DOI: 10.1016/S0741-5214(03)01052-8

Fig 1 CT scan demonstrates portal venous thrombosis (arrow). Journal of Vascular Surgery 2003 38, 1411-1415DOI: (10.1016/S0741-5214(03)01052-8)

Fig 2 Selective superior mesenteric artery catheterization demonstrates anomalous origin of replaced common hepatic artery from proximal superior mesenteric artery. Journal of Vascular Surgery 2003 38, 1411-1415DOI: (10.1016/S0741-5214(03)01052-8)

Fig 3 Initial selective digital subtraction mesenteric angiogram with delayed venous phase image confirms portal and mesenteric venous thrombosis. Journal of Vascular Surgery 2003 38, 1411-1415DOI: (10.1016/S0741-5214(03)01052-8)

Fig 4 A, Follow-up angiogram at 24 hours demonstrates improved visualization of portal vein (arrow). B, t-PA infusion was continued for an additional 24 hours, and completion angiogram shows a widely patent portal vein (arrow). Journal of Vascular Surgery 2003 38, 1411-1415DOI: (10.1016/S0741-5214(03)01052-8)

Fig 5 CT scan after thrombolysis demonstrates clearance of thrombus from portal vein (arrow). Journal of Vascular Surgery 2003 38, 1411-1415DOI: (10.1016/S0741-5214(03)01052-8)