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Application of endovascular stent placement as a remedy for spontaneous isolated superior mesenteric artery dissection.
Vascular. 2014 Oct; 22(5):350-5.V

Abstract

OBJECTIVES

To present our experience regarding endovascular stent placement for the treatment of spontaneous isolated superior mesenteric artery dissection (SISMAD) and to evaluate the safety and feasibility of the endovascular therapy.

METHODS

The clinical data from six patients with SISMAD who underwent endovascular stent placement in two institutions from March 2010 to May 2012 were analyzed retrospectively. Four patients were implanted a self-expanding stent, and an additional stent was deployed in two of these patients after the first stent was implanted. One patient was subjected to a self-expanding stent implantation combined with coil embolization. The remaining patient underwent thrombectomy plus partial intimectomy 2 months before a balloon-expandable stent was implanted.

RESULTS

All of the patients recuperated uneventfully without any reoccurrence of the symptoms in the follow-up period (range 12-38 months). Contrast-enhanced computer tomography scanning was performed 3 months after the procedure in all of the patients, and the images showed that the false lumen was nearly thrombosed and that the true lumen was maintained patent.

CONCLUSIONS

Endovascular stent placement is a simple and safe alternative to aggressive surgery or uncertain observation.

Authors+Show Affiliations

Department of Vascular Surgery, Clinical Medical School of Yangzhou University, Yangzhou, China Department of Vascular Surgery, Union Hospital of Tongji, Medical College of Huazhong University of Science and Technology, Wuhan China.Department of Vascular Surgery, Clinical Medical School of Yangzhou University, Yangzhou, China.Department of Vascular Surgery, Clinical Medical School of Yangzhou University, Yangzhou, China zhangxicheng@163.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24347136

Citation

Sun, Yuan, et al. "Application of Endovascular Stent Placement as a Remedy for Spontaneous Isolated Superior Mesenteric Artery Dissection." Vascular, vol. 22, no. 5, 2014, pp. 350-5.
Sun Y, Chen Z, Zhang X. Application of endovascular stent placement as a remedy for spontaneous isolated superior mesenteric artery dissection. Vascular. 2014;22(5):350-5.
Sun, Y., Chen, Z., & Zhang, X. (2014). Application of endovascular stent placement as a remedy for spontaneous isolated superior mesenteric artery dissection. Vascular, 22(5), 350-5. https://doi.org/10.1177/1708538113516445
Sun Y, Chen Z, Zhang X. Application of Endovascular Stent Placement as a Remedy for Spontaneous Isolated Superior Mesenteric Artery Dissection. Vascular. 2014;22(5):350-5. PubMed PMID: 24347136.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Application of endovascular stent placement as a remedy for spontaneous isolated superior mesenteric artery dissection. AU - Sun,Yuan, AU - Chen,Zhaolei, AU - Zhang,Xicheng, Y1 - 2013/12/17/ PY - 2013/12/19/entrez PY - 2013/12/19/pubmed PY - 2016/5/10/medline KW - Superior mesenteric artery KW - dissection KW - endovascular KW - stent SP - 350 EP - 5 JF - Vascular JO - Vascular VL - 22 IS - 5 N2 - OBJECTIVES: To present our experience regarding endovascular stent placement for the treatment of spontaneous isolated superior mesenteric artery dissection (SISMAD) and to evaluate the safety and feasibility of the endovascular therapy. METHODS: The clinical data from six patients with SISMAD who underwent endovascular stent placement in two institutions from March 2010 to May 2012 were analyzed retrospectively. Four patients were implanted a self-expanding stent, and an additional stent was deployed in two of these patients after the first stent was implanted. One patient was subjected to a self-expanding stent implantation combined with coil embolization. The remaining patient underwent thrombectomy plus partial intimectomy 2 months before a balloon-expandable stent was implanted. RESULTS: All of the patients recuperated uneventfully without any reoccurrence of the symptoms in the follow-up period (range 12-38 months). Contrast-enhanced computer tomography scanning was performed 3 months after the procedure in all of the patients, and the images showed that the false lumen was nearly thrombosed and that the true lumen was maintained patent. CONCLUSIONS: Endovascular stent placement is a simple and safe alternative to aggressive surgery or uncertain observation. SN - 1708-539X UR - https://www.unboundmedicine.com/medline/citation/24347136/Application_of_endovascular_stent_placement_as_a_remedy_for_spontaneous_isolated_superior_mesenteric_artery_dissection_ L2 - http://journals.sagepub.com/doi/full/10.1177/1708538113516445?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -