Kd. Mcbride et Pa. Gaines, THROMBOLYSIS OF A PARTIALLY OCCLUDING SUPERIOR MESENTERIC-ARTERY THROMBOEMBOLUS BY INFUSION OF STREPTOKINASE, Cardiovascular and interventional radiology, 17(3), 1994, pp. 164-166
Occlusion of the superior mesenteric artery by thromboembolism is an u
ncommon cause of acute intestinal ischemia but carries a high mortalit
y. This report describes a case of mesenteric thromboembolism in an 80
-year-old woman treated successfully by selective low-dose infusion of
streptokinase over 17 hours. Only twelve previous cases have been rep
orted in the world literature. Selective thrombolytic therapy appears
effective in the treatment of mesenteric thromboembolism, particularly
in elderly patients with a high operative risk.