Elsevier

EJVES Extra

Volume 22, Issue 3, September 2011, Pages e27-e29
EJVES Extra

Short report
Interventional Management of In-stent Thrombosis after Superior Mesenteric Vein stenting

https://doi.org/10.1016/j.ejvsextra.2011.06.005Get rights and content
Under a Creative Commons license
open access

Abstract

Introduction

Mesenteric vein stenosis and thrombosis are rare conditions, without a definite treatment strategy.

Report

A 46 year-old man underwent pancreatic resection with a polytetrafluoroethylene (PTFE) graft vascular reconstruction; he subsequently developed anastomotic mesenteric vein stenosis, which was treated with transhepatic venoplasty and stenting. Three months later, he suffered an in-stent thrombosis, after a reduction in heparin dosage. The thrombosis was successfully managed, after a failed systemic thrombolysis, with a direct thrombolysis via transjugular approach. At 10 months’ follow-up, the stent was still patent.

Conclusion

Mesenteric vein stenting is effective on PTFE grafts, but appropriate anticoagulation is helpful to avoid subsequent in-stent thrombosis.

Keywords

Mesenteric vein stenosis
Stenting
Direct thrombolysis

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