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Intra-arterial Fibrinolytic Therapy Using Modified Sullivan Technique in SMA Thromboembolism: a case report

Intra-arterial Fibrinolytic Therapy Using Modified Sullivan Technique in SMA Thromboembolism: a case report,HUA-TZU HUANG,YU-LIN PAI,MIN-HO HUANG,JYH-

Intra-arterial Fibrinolytic Therapy Using Modified Sullivan Technique in SMA Thromboembolism: a case report  
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Our aim is to present the role of contrast- enhanced CT in the early diagnosis of superior mesenteric artery (SMA) thromboembolism and to report our experience in the fibrinolytic therapy of this disorder using modified Sullivan technique. Contrast-enhanced helical CT clearly demonstrated the various findings of SMA thromboembolism in all 3 cases. In the first 2 patients, the modified Sullivan method of transthrombus high dose bolus technique followed by pump infusion of recombinant tissue plasminogen activator (r-TPA) was used. In the third case, only pump infusion of r-TPA was done. Fibrinolytic therapy was successful in the first 2 patients but failed in the third. In our limited expe- rience, contrast-enhanced CT was helpful in the early diagnosis of SMA thromboembolism and the intrathrombus high dose bolus technique using r- TPA appeared to accelerate clot lysis.
Published in 2003.
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