Tags

Type your tag names separated by a space and hit enter

Value of endovascular stent placement for symptomatic spontaneous isolated superior mesenteric artery dissection.
Eur J Radiol. 2013 Mar; 82(3):490-6.EJ

Abstract

OBJECTIVE

To evaluate the feasibility and efficacy of endovascular stent placement for the treatment of symptomatic spontaneous isolated superior mesenteric artery dissection.

MATERIALS AND METHODS

This retrospective study was undertaken in 12 consecutive patients who suffered from symptomatic spontaneous isolated superior mesenteric artery dissection. Seven patients with severe clinical symptoms underwent endovascular stent placement as a primary treatment and the other 5 patients received conservative treatment. The technical results, complications and clinical outcomes were analyzed. Follow-up was performed with computed tomographic angiography.

RESULTS

Primary endovascular stent placement was successfully performed in 7 patients with severe clinical symptoms. Successful conservative treatment was achieved in 3 patients. Endovascular stent placement was additionally performed in 2 patients with unsuccessful conservative treatment. A stent was misplaced in the false lumen in one of those two patients due to a severely stenotic true lumen. The fasting time and length of stay were significantly shorter in patients with successful endovascular therapy (median: 3 days and 5.5 days) than in those conducted conservatively (median: 9 days and 14 days) (p<0.05). During the follow-up period (median, 21 months; range, 10-36 months), 1 patient with endovascular stent placement had recurrent abdominal pain because of the wall adherent thrombus in the proximal segment of the superior mesenteric artery during the first follow-up month. No thrombosis or stenosis was found in the lumina of the stents.

CONCLUSION

Endovascular stent placement is a safe and feasible therapeutic approach for symptomatic spontaneous isolated superior mesenteric artery dissection with immediate success and satisfactory outcomes.

Authors+Show Affiliations

Department of Radiology, Interventional Institution of Sun Yat-sen University, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China. pflb@sina.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23092539

Citation

Pang, Pengfei, et al. "Value of Endovascular Stent Placement for Symptomatic Spontaneous Isolated Superior Mesenteric Artery Dissection." European Journal of Radiology, vol. 82, no. 3, 2013, pp. 490-6.
Pang P, Jiang Z, Huang M, et al. Value of endovascular stent placement for symptomatic spontaneous isolated superior mesenteric artery dissection. Eur J Radiol. 2013;82(3):490-6.
Pang, P., Jiang, Z., Huang, M., Zhou, B., Zhu, K., & Shan, H. (2013). Value of endovascular stent placement for symptomatic spontaneous isolated superior mesenteric artery dissection. European Journal of Radiology, 82(3), 490-6. https://doi.org/10.1016/j.ejrad.2012.09.005
Pang P, et al. Value of Endovascular Stent Placement for Symptomatic Spontaneous Isolated Superior Mesenteric Artery Dissection. Eur J Radiol. 2013;82(3):490-6. PubMed PMID: 23092539.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Value of endovascular stent placement for symptomatic spontaneous isolated superior mesenteric artery dissection. AU - Pang,Pengfei, AU - Jiang,Zaibo, AU - Huang,Mingsheng, AU - Zhou,Bin, AU - Zhu,Kangshun, AU - Shan,Hong, Y1 - 2012/10/23/ PY - 2012/08/09/received PY - 2012/09/11/revised PY - 2012/09/16/accepted PY - 2012/10/25/entrez PY - 2012/10/25/pubmed PY - 2013/8/22/medline SP - 490 EP - 6 JF - European journal of radiology JO - Eur J Radiol VL - 82 IS - 3 N2 - OBJECTIVE: To evaluate the feasibility and efficacy of endovascular stent placement for the treatment of symptomatic spontaneous isolated superior mesenteric artery dissection. MATERIALS AND METHODS: This retrospective study was undertaken in 12 consecutive patients who suffered from symptomatic spontaneous isolated superior mesenteric artery dissection. Seven patients with severe clinical symptoms underwent endovascular stent placement as a primary treatment and the other 5 patients received conservative treatment. The technical results, complications and clinical outcomes were analyzed. Follow-up was performed with computed tomographic angiography. RESULTS: Primary endovascular stent placement was successfully performed in 7 patients with severe clinical symptoms. Successful conservative treatment was achieved in 3 patients. Endovascular stent placement was additionally performed in 2 patients with unsuccessful conservative treatment. A stent was misplaced in the false lumen in one of those two patients due to a severely stenotic true lumen. The fasting time and length of stay were significantly shorter in patients with successful endovascular therapy (median: 3 days and 5.5 days) than in those conducted conservatively (median: 9 days and 14 days) (p<0.05). During the follow-up period (median, 21 months; range, 10-36 months), 1 patient with endovascular stent placement had recurrent abdominal pain because of the wall adherent thrombus in the proximal segment of the superior mesenteric artery during the first follow-up month. No thrombosis or stenosis was found in the lumina of the stents. CONCLUSION: Endovascular stent placement is a safe and feasible therapeutic approach for symptomatic spontaneous isolated superior mesenteric artery dissection with immediate success and satisfactory outcomes. SN - 1872-7727 UR - https://www.unboundmedicine.com/medline/citation/23092539/Value_of_endovascular_stent_placement_for_symptomatic_spontaneous_isolated_superior_mesenteric_artery_dissection_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0720-048X(12)00419-6 DB - PRIME DP - Unbound Medicine ER -