Permenant Atriyal Fibrilasyon Olgusunda Gelişen Süperior Mezenterik Arter Embolisi ve Endovasküler Tedavisi
Synopsis
Atriyal fibrilasyon ilerleyen yaşla beraber sıklığı artan önemli bir morbidite ve mortalite nedenidir ve erişkinlerde en sık görülen aritmidir. Ortaya çıktıktan sonra birçok olumsuz sonucu da beraberinde getirmektedir. Ölüm, inme, sol ventrikül disfonksiyonu ve kalp yetmezliği, hastaneye yatış sıklığında artma en sık karşılaşılan olumsuz sonuçlardır. Periferik embolilerin en önemli sebebidir. Daha çok akla inme sebebi olarak gelse de farklı damar yatakları içinde emboli riski oluşturmaktadır. Bu vakamızda 72 yaşında atriyal fibrilasyon öyküsü olan bayan hastamızda gelişen akut mezenter iskemi ve endovasküler olarak tedavisi anlatılmaktadır.
References
Guanyi Liao MD, Siyang Chen MD, Haoyang Cao MD, et al. Review: Acute superior mesenteric artery embolism. A vascular emergency cannot be ignored by physicians. Medicine (Baltimore). 2019 Feb; 98(6): e14446. Published online 2019 Feb 8. doi: 10.1097/MD.0000000000014446
James R. Stone, MD, PhD, and Luke R. Wilkins, MD. Acute Mesenteric Ischemia. Tech Vasc Interv Radiol 2015 Mar;18(1):24-30. doi: 10.1053/j.tvir.2014.12.004.
Brundel, B.J.J.M., Ai, X., Hills, M.T. et al. Atrial fibrillation. Nat Rev Dis Primers 8, 21 (2022). https://doi.org/10.1038/s41572-022-00347-9
Benjamin EJ, Muntner P, Alonso A, et al. American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics 2019 update: a report from the American Heart Association. Circulation 2019;139:e56e528.
Chugh SS, Havmoeller R, Narayanan K, et al. Worldwide epidemiology of atrial fibrillation: a Global Burden of Disease 2010 Study. Circulation 2014;129:837847.
Colilla S, Crow A, Petkun W, et al. Estimates of current and future incidence and prevalence of atrial fibrillation in the US adult population. Am J Cardiol 2013;112:11421147.
Krijthe BP, Kunst A, Benjamin EJ, et al. Projections on the number of individuals with atrial fibrillation in the European Union, from 2000 to 2060. Eur Heart J 2013;34:27462751
Murphy SJ, Werring DJ. Stroke: causes and clinical features. Medicine (Abingdon). 2020 Sep;48(9):561-566. doi: 10.1016/j.mpmed.2020.06.002. Epub 2020 Aug 6. PMID: 32837228; PMCID: PMC7409792.
Bekwelem W, Connolly SJ, Halperin JL, et al. Extracranial Systemic Embolic Events in Patients With Nonvalvular Atrial Fibrillation: Incidence, Risk Factors, and Outcomes. Circulation. 2015; 132:796–803. [PubMed: 26224811]
Sungho Lim, MD, Pegge M. Halandras, MD, Carlos Bechara, MD, et al. Contemporary Management of Acute Mesenteric Ischemia in the Endovascular Era. Vascular and Endovascular Surgery Volume 53, Issue 1, January 2019, Pages 42-50
Aliosmanoglu I, Gul M, Kapan M, et al. Risk factors effecting mortality in acute mesenteric ischemia and mortality rates: a single center experience. Int Surg 2013;98:76–81.
Bala M, Catena F, Kashuk J, et al. Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery. World J Emerg Surg. 2022 Oct 19;17(1):54. doi: 10.1186/s13017-022-00443-x. PMID: 36261857; PMCID: PMC9580452
Björck M, Koelemay M, Acosta S, et al. Editor’s Choice - Management of the Diseases of Mesenteric Arteries and Veins Clinical Practice Guidelines of the European Society of Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg. 2017;53(4):460–510.
Smith SF, Gollop ND, Klimach SG, Murray PJ. Is open surgery or endo vascular therapy best to treat acute mesenteric occlusive disease? Int J Surg. 2013;11:1043–7. https://doi.org/10.1016/j.ijsu.2013.10.003.
Zhang Z, Wang D, Li G, et al. Endovascular treatment for acute thromboembolic occlusion of the superior mes enteric artery and the outcome comparison between endovascular and open surgical treatments: a retrospective study. Biomed Res Int. 2017;2017:1964765. https://doi.org/10.1155/2017/1964765.
Patel A, Kaleya RN, Sammartano RJ. Pathophysiology of mesenteric ischemia. Surg Clin North Am. 1992;72:31–41
Heiss P, Loewenhardt B, Manke C, et al. Primary percutaneous aspiration and thrombolysis for the treatment of acute embolic superior mesenteric artery occlusion. Eur Radiol. 2010;20(12):2948–58.
Hou L, Wang T, Wang J, et al. Outcomes of diferent acute mesenteric ischemia therapies in the last 20 years: a meta-analysis and systematic review. Vascular. 2021;21:17085381211024504. https://doi. org/10.1177/17085381211024503
Raupach J, Lojik M, Chovanec V, Renc O, Strycek M, Dvorak P, et al. Endovascular management of acute embolic occlusion of the superior mesenteric artery: a 12-year single-centre experience. Cardiovasc Intervent Radiol. 2016;39(2):195–203. 20. Bjornsson S, Bjorck M, Block T, et al. Thrombolysis for acute occlusion of the superior mesenteric artery. J Vasc Surg. 2011;54(6):1734–42.
Dias NV, Acosta S, Resch T, et al. Midterm outcome of endovascular revascularization for chronic mesenteric ischaemia. Br J Surg. 2010;97(2):195–201.
Wyers MC, Powell RJ, Nolan BW, et al. Retrograde mesenteric stenting during laparotomy for acute occlusive mesenteric ischemia. J Vasc Surg. 2007;45(2):269–75.
Blauw JT, Meerwaldt R, Brusse-Keizer M, et al. Retrograde open mesenteric stenting for acute mesenteric ischemia. J Vasc Surg. 2014;60(3):726–34.
Chen Y, Zhu J, Ma Z, et al. Hybrid technique to treat superior mesenteric artery occlusion in patients with acute mesenteric ischemia. Exp Ther Med. 2015;9(6):2359–63
Roussel A, Castier Y, Nuzzo A, et al. Revascularization of acute mesen teric ischemia after creation of a dedicated multidisciplinary center. J Vasc Surg. 2015;62:1251–6
James R. Stone, MD, PhD, and Luke R. Wilkins, MD. Acute Mesenteric Ischemia. Tech Vasc Interv Radiol 2015 Mar;18(1):24-30. doi: 10.1053/j.tvir.2014.12.004.
Brundel, B.J.J.M., Ai, X., Hills, M.T. et al. Atrial fibrillation. Nat Rev Dis Primers 8, 21 (2022). https://doi.org/10.1038/s41572-022-00347-9
Benjamin EJ, Muntner P, Alonso A, et al. American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics 2019 update: a report from the American Heart Association. Circulation 2019;139:e56e528.
Chugh SS, Havmoeller R, Narayanan K, et al. Worldwide epidemiology of atrial fibrillation: a Global Burden of Disease 2010 Study. Circulation 2014;129:837847.
Colilla S, Crow A, Petkun W, et al. Estimates of current and future incidence and prevalence of atrial fibrillation in the US adult population. Am J Cardiol 2013;112:11421147.
Krijthe BP, Kunst A, Benjamin EJ, et al. Projections on the number of individuals with atrial fibrillation in the European Union, from 2000 to 2060. Eur Heart J 2013;34:27462751
Murphy SJ, Werring DJ. Stroke: causes and clinical features. Medicine (Abingdon). 2020 Sep;48(9):561-566. doi: 10.1016/j.mpmed.2020.06.002. Epub 2020 Aug 6. PMID: 32837228; PMCID: PMC7409792.
Bekwelem W, Connolly SJ, Halperin JL, et al. Extracranial Systemic Embolic Events in Patients With Nonvalvular Atrial Fibrillation: Incidence, Risk Factors, and Outcomes. Circulation. 2015; 132:796–803. [PubMed: 26224811]
Sungho Lim, MD, Pegge M. Halandras, MD, Carlos Bechara, MD, et al. Contemporary Management of Acute Mesenteric Ischemia in the Endovascular Era. Vascular and Endovascular Surgery Volume 53, Issue 1, January 2019, Pages 42-50
Aliosmanoglu I, Gul M, Kapan M, et al. Risk factors effecting mortality in acute mesenteric ischemia and mortality rates: a single center experience. Int Surg 2013;98:76–81.
Bala M, Catena F, Kashuk J, et al. Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery. World J Emerg Surg. 2022 Oct 19;17(1):54. doi: 10.1186/s13017-022-00443-x. PMID: 36261857; PMCID: PMC9580452
Björck M, Koelemay M, Acosta S, et al. Editor’s Choice - Management of the Diseases of Mesenteric Arteries and Veins Clinical Practice Guidelines of the European Society of Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg. 2017;53(4):460–510.
Smith SF, Gollop ND, Klimach SG, Murray PJ. Is open surgery or endo vascular therapy best to treat acute mesenteric occlusive disease? Int J Surg. 2013;11:1043–7. https://doi.org/10.1016/j.ijsu.2013.10.003.
Zhang Z, Wang D, Li G, et al. Endovascular treatment for acute thromboembolic occlusion of the superior mes enteric artery and the outcome comparison between endovascular and open surgical treatments: a retrospective study. Biomed Res Int. 2017;2017:1964765. https://doi.org/10.1155/2017/1964765.
Patel A, Kaleya RN, Sammartano RJ. Pathophysiology of mesenteric ischemia. Surg Clin North Am. 1992;72:31–41
Heiss P, Loewenhardt B, Manke C, et al. Primary percutaneous aspiration and thrombolysis for the treatment of acute embolic superior mesenteric artery occlusion. Eur Radiol. 2010;20(12):2948–58.
Hou L, Wang T, Wang J, et al. Outcomes of diferent acute mesenteric ischemia therapies in the last 20 years: a meta-analysis and systematic review. Vascular. 2021;21:17085381211024504. https://doi. org/10.1177/17085381211024503
Raupach J, Lojik M, Chovanec V, Renc O, Strycek M, Dvorak P, et al. Endovascular management of acute embolic occlusion of the superior mesenteric artery: a 12-year single-centre experience. Cardiovasc Intervent Radiol. 2016;39(2):195–203. 20. Bjornsson S, Bjorck M, Block T, et al. Thrombolysis for acute occlusion of the superior mesenteric artery. J Vasc Surg. 2011;54(6):1734–42.
Dias NV, Acosta S, Resch T, et al. Midterm outcome of endovascular revascularization for chronic mesenteric ischaemia. Br J Surg. 2010;97(2):195–201.
Wyers MC, Powell RJ, Nolan BW, et al. Retrograde mesenteric stenting during laparotomy for acute occlusive mesenteric ischemia. J Vasc Surg. 2007;45(2):269–75.
Blauw JT, Meerwaldt R, Brusse-Keizer M, et al. Retrograde open mesenteric stenting for acute mesenteric ischemia. J Vasc Surg. 2014;60(3):726–34.
Chen Y, Zhu J, Ma Z, et al. Hybrid technique to treat superior mesenteric artery occlusion in patients with acute mesenteric ischemia. Exp Ther Med. 2015;9(6):2359–63
Roussel A, Castier Y, Nuzzo A, et al. Revascularization of acute mesen teric ischemia after creation of a dedicated multidisciplinary center. J Vasc Surg. 2015;62:1251–6
Pages
1-8
Published
May 2, 2024
Copyright (c) 2024 Academician Publishing Book Portal
License
LicenseHow to Cite
1.
Uçar M. Permenant Atriyal Fibrilasyon Olgusunda Gelişen Süperior Mezenterik Arter Embolisi ve Endovasküler Tedavisi. In: Erol Ç, editor. Olgular Eşliğinde Kardiyoloji II [Internet]. Türkiye: Academician Publishing Book DOI Portal; 2024 [cited 2026 Jul. 13]. pp. 1-8. Available from: https://omp35.books.akademisyen.net/index.php/akya/catalog/book/3007/chapter/13197
