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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 on theme: "Treatment of portal venous thrombosis with selective superior mesenteric artery infusion of recombinant tissue plasminogen activator  E.A Henao, MD, W.Todd."— Presentation transcript:

1 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 (December 2003) DOI: /S (03)

2 Fig 1 CT scan demonstrates portal venous thrombosis (arrow).
Journal of Vascular Surgery  , DOI: ( /S (03) )

3 Fig 2 Selective superior mesenteric artery catheterization demonstrates anomalous origin of replaced common hepatic artery from proximal superior mesenteric artery. Journal of Vascular Surgery  , DOI: ( /S (03) )

4 Fig 3 Initial selective digital subtraction mesenteric angiogram with delayed venous phase image confirms portal and mesenteric venous thrombosis. Journal of Vascular Surgery  , DOI: ( /S (03) )

5 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  , DOI: ( /S (03) )

6 Fig 5 CT scan after thrombolysis demonstrates clearance of thrombus from portal vein (arrow). Journal of Vascular Surgery  , DOI: ( /S (03) )

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