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Endovascular repair of spontaneous isolated dissection of the superior mesenteric artery.
Clin Radiol. 2012 Jan; 67(1):32-7.CR

Abstract

AIM

To present our experience of the clinical management of spontaneous isolated dissection of superior mesenteric artery (SIDSMA) and analyse the clinical features, imaging findings, and treatment outcomes.

MATERIALS AND METHODS

In this retrospective study, eight consecutive patients with symptomatic SIDSMA were treated in Chang Gung Memorial Hospital between April 2007 and April 2010; among these patients, six underwent endovascular stent placement. The clinical manifestations, imaging findings, endovascular stent placement outcome, and follow-up results of the patients were retrospectively analysed.

RESULTS

Eight patients were diagnosed with SIDSMA by contrast-enhanced computer tomography. One patient died due to comorbidity before angiography. Six patients underwent percutaneous endovascular stent placement in the superior mesenteric artery (SMA): four patients with bare stents and two with stent grafts. Because it was not appropriate to perform stent implantation in the remaining patient, he received only conservative treatment. All seven patients had an uneventful recovery and the follow-up period was 16 month, ranging from 1 to 35 months.

CONCLUSION

For patients with symptomatic SIDSMA, endovascular repair is a feasible treatment choice with a high success rate and good clinical outcome.

Authors+Show Affiliations

Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital at Linkou, Chang Gung University, Taoyuan, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22070946

Citation

Chu, S-Y, et al. "Endovascular Repair of Spontaneous Isolated Dissection of the Superior Mesenteric Artery." Clinical Radiology, vol. 67, no. 1, 2012, pp. 32-7.
Chu SY, Hsu MY, Chen CM, et al. Endovascular repair of spontaneous isolated dissection of the superior mesenteric artery. Clin Radiol. 2012;67(1):32-7.
Chu, S. Y., Hsu, M. Y., Chen, C. M., Yeow, K. M., Hung, C. F., Su, I. H., Shie, R. F., & Pan, K. T. (2012). Endovascular repair of spontaneous isolated dissection of the superior mesenteric artery. Clinical Radiology, 67(1), 32-7. https://doi.org/10.1016/j.crad.2011.04.007
Chu SY, et al. Endovascular Repair of Spontaneous Isolated Dissection of the Superior Mesenteric Artery. Clin Radiol. 2012;67(1):32-7. PubMed PMID: 22070946.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endovascular repair of spontaneous isolated dissection of the superior mesenteric artery. AU - Chu,S-Y, AU - Hsu,M-Y, AU - Chen,C-M, AU - Yeow,K-M, AU - Hung,C-F, AU - Su,I-H, AU - Shie,R-F, AU - Pan,K-T, Y1 - 2011/11/08/ PY - 2010/11/28/received PY - 2011/03/25/revised PY - 2011/04/08/accepted PY - 2011/11/11/entrez PY - 2011/11/11/pubmed PY - 2012/2/22/medline SP - 32 EP - 7 JF - Clinical radiology JO - Clin Radiol VL - 67 IS - 1 N2 - AIM: To present our experience of the clinical management of spontaneous isolated dissection of superior mesenteric artery (SIDSMA) and analyse the clinical features, imaging findings, and treatment outcomes. MATERIALS AND METHODS: In this retrospective study, eight consecutive patients with symptomatic SIDSMA were treated in Chang Gung Memorial Hospital between April 2007 and April 2010; among these patients, six underwent endovascular stent placement. The clinical manifestations, imaging findings, endovascular stent placement outcome, and follow-up results of the patients were retrospectively analysed. RESULTS: Eight patients were diagnosed with SIDSMA by contrast-enhanced computer tomography. One patient died due to comorbidity before angiography. Six patients underwent percutaneous endovascular stent placement in the superior mesenteric artery (SMA): four patients with bare stents and two with stent grafts. Because it was not appropriate to perform stent implantation in the remaining patient, he received only conservative treatment. All seven patients had an uneventful recovery and the follow-up period was 16 month, ranging from 1 to 35 months. CONCLUSION: For patients with symptomatic SIDSMA, endovascular repair is a feasible treatment choice with a high success rate and good clinical outcome. SN - 1365-229X UR - https://www.unboundmedicine.com/medline/citation/22070946/Endovascular_repair_of_spontaneous_isolated_dissection_of_the_superior_mesenteric_artery_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0009-9260(11)00185-1 DB - PRIME DP - Unbound Medicine ER -