PURPOSE: To evaluate the efficacy of intraarterial urokinase in the treatment of @entity6029 ( @entity6029 ) @entity887 . MATERIALS AND METHODS: Within 3 years, 10 @entity1 (six @entity1 , four @entity1 ; aged 62-82 years) with angiographically proved @entity6029 emboli were selected on the basis of absence of peritoneal signs of @entity39 at physical examination and normal abdominal plain radiographs to undergo local lysis with urokinase. RESULTS: The procedure was performed without complications in all 10 @entity1 . The embolus was successfully lysed in nine @entity1 (90%). Clinical success was achieved in seven @entity1 (70%); however, in one @entity1 laparotomy was required to confirm the clinical finding. None of these @entity1 had recurrent @entity887 or @entity1944 during follow-up (mean, 11.2 months). The three remaining @entity1 (30%) underwent laparotomy subsequent to failure of intraarterial treatment with urokinase. CONCLUSION: Fibrinolytic treatment with urokinase may be an effective alternative to surgical embolectomy in @entity1 with @entity6029 without clinical or radiologic signs of @entity1188 . In this small series, abatement of @entity490 in the 1st hour of fibrinolytic treatment was the best indicator of clinical success. @entity158 persisted in @entity1 with @entity1188 .

Superior mesenteric arterial XXXX : local fibrinolytic treatment with urokinase.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'men'] @entity1944 :: ('MESH:D007410', 'Disease') :: ['postischemic intestinal stenosis'] @entity39 :: ('MESH:D009336', 'Disease') :: ['intestinal necrosis'] @entity887 :: ('MESH:D004617', 'Disease') :: ['embolism'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['intestinal infarction'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain'] @entity6029 :: ('MESH:D013478', 'Disease') :: ['SMA embolism', 'SMA', 'superior mesenteric arterial']
@entity887 :: (MESH:D004617,Disease) :: ['embolism']
