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Clinical course and angiographic changes of spontaneous isolated superior mesenteric artery dissection after conservative treatment.
Surg Today. 2014 Nov; 44(11):2092-7.ST

Abstract

PURPOSE

The aim of this study was to evaluate the clinical course and angiographic changes of spontaneous isolated superior mesenteric artery dissection (SISMAD) after conservative treatment.

METHODS

Twenty-four patients with SISMAD admitted from September 2006 through March 2013 were included in this study. The clinical characteristics, type and location of the dissection, clinical outcome and angiographic changes were analyzed retrospectively.

RESULTS

The median follow-up was 18.7 months (range 1.4-67.5 months). Eighteen patients (75 %) were symptomatic, and the median duration of abdominal pain was 2.5 days. All of the patients were treated conservatively. Follow-up computed tomography angiography showed complete remodeling in six patients (25 %), partial remodeling in four patients (17 %), no changes in nine patients (38 %), progression to total occlusion in four patients (17 %) and aneurysmal changes of the false lumen in one patient (4 %). Endovascular intervention was performed in the patient with aneurysmal changes. There was no mortality or morbidity related to the dissection.

CONCLUSION

SISMAD represented variable angiographic changes, and its clinical course was benign in this study. For patients with SISMAD, if there is no evidence of bowel infarction, bleeding or aneurysmal changes, conservative treatment with close follow-up is sufficient and could reduce unnecessary endovascular interventions.

Authors+Show Affiliations

Department of Vascular Surgery, Dongsan Medical Center, Keimyung University School of Medicine, 56 Dalseong-Ro, Jung-Gu, Daegu, 700-712, Korea, junapark@dsmc.or.kr.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24496981

Citation

Park, Ui Jun, et al. "Clinical Course and Angiographic Changes of Spontaneous Isolated Superior Mesenteric Artery Dissection After Conservative Treatment." Surgery Today, vol. 44, no. 11, 2014, pp. 2092-7.
Park UJ, Kim HT, Cho WH, et al. Clinical course and angiographic changes of spontaneous isolated superior mesenteric artery dissection after conservative treatment. Surg Today. 2014;44(11):2092-7.
Park, U. J., Kim, H. T., Cho, W. H., Kim, Y. H., & Miyata, T. (2014). Clinical course and angiographic changes of spontaneous isolated superior mesenteric artery dissection after conservative treatment. Surgery Today, 44(11), 2092-7. https://doi.org/10.1007/s00595-014-0849-9
Park UJ, et al. Clinical Course and Angiographic Changes of Spontaneous Isolated Superior Mesenteric Artery Dissection After Conservative Treatment. Surg Today. 2014;44(11):2092-7. PubMed PMID: 24496981.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical course and angiographic changes of spontaneous isolated superior mesenteric artery dissection after conservative treatment. AU - Park,Ui Jun, AU - Kim,Hyoung Tae, AU - Cho,Won Hyun, AU - Kim,Young Hwan, AU - Miyata,Tetsuro, Y1 - 2014/02/06/ PY - 2013/06/17/received PY - 2013/11/05/accepted PY - 2014/2/6/entrez PY - 2014/2/6/pubmed PY - 2015/6/9/medline SP - 2092 EP - 7 JF - Surgery today JO - Surg. Today VL - 44 IS - 11 N2 - PURPOSE: The aim of this study was to evaluate the clinical course and angiographic changes of spontaneous isolated superior mesenteric artery dissection (SISMAD) after conservative treatment. METHODS: Twenty-four patients with SISMAD admitted from September 2006 through March 2013 were included in this study. The clinical characteristics, type and location of the dissection, clinical outcome and angiographic changes were analyzed retrospectively. RESULTS: The median follow-up was 18.7 months (range 1.4-67.5 months). Eighteen patients (75 %) were symptomatic, and the median duration of abdominal pain was 2.5 days. All of the patients were treated conservatively. Follow-up computed tomography angiography showed complete remodeling in six patients (25 %), partial remodeling in four patients (17 %), no changes in nine patients (38 %), progression to total occlusion in four patients (17 %) and aneurysmal changes of the false lumen in one patient (4 %). Endovascular intervention was performed in the patient with aneurysmal changes. There was no mortality or morbidity related to the dissection. CONCLUSION: SISMAD represented variable angiographic changes, and its clinical course was benign in this study. For patients with SISMAD, if there is no evidence of bowel infarction, bleeding or aneurysmal changes, conservative treatment with close follow-up is sufficient and could reduce unnecessary endovascular interventions. SN - 1436-2813 UR - https://www.unboundmedicine.com/medline/citation/24496981/Clinical_course_and_angiographic_changes_of_spontaneous_isolated_superior_mesenteric_artery_dissection_after_conservative_treatment_ L2 - https://dx.doi.org/10.1007/s00595-014-0849-9 DB - PRIME DP - Unbound Medicine ER -