Akademik Veri Yönetim Sistemi
Advanced Stroke and Peripheral Interventions Course (ASPIC 2021), Nevşehir, Türkiye, 26 - 28 Şubat 2021, ss.73
If atrial fibrillation is not treated, it can cause many thromboembolic complications. This case presents an acute
mesenteric embolism in a patient with atrial fibrillation. Differently, Hook catater, which is used for coronary sinus
cannulation in CRT implantation, was used for superior mesenteric artery cannulation.
Our patient is an 82-year-old male who applied to the emergency department with a complaint of abdominal pain.
The cardiology department is consulted because troponin is high in the examinations performed here. ECG and
echocardiographic examinations of the patient were evaluated as normal. Since the patient's clinic is suitable for
acute mesenteric ischemia, it is imaged with abdominal CT. SMA (superior mesenteric artery) is seen as suspicious
occluded. Thereupon, the patient was imaged in the coronary and intestinal angiography laboratory. Intense
thrombus was observed in SMA. SMA was cannulated with a 9F, 45 cm right extended hook catheter. FR4 guiding
catheter was advanced through the hook catheter. With the help of a guide wire, FR4 was advanced until the SMA
distally, thrombus aspiration was performed by applying continuous negative pressure with an injector 6 times.In
this way, the thrombus was removed from the SMA.
In this case, we showed that the hook catheter used for coronary sinus intubation is very convenient for SMA
cannulation. It can be applied very easily and practically in the treatment of acute mesenteric embolism.