Endovascular repair of spontaneous isolated dissection of the superior mesenteric artery
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 symptomat...
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| Veröffentlicht in: | Clinical radiology 2012-01, Vol.67 (1), p.32-37 |
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| creator | Chu, S.-Y Hsu, M.-Y Chen, C.-M Yeow, K.-M Hung, C.-F Su, I.-H Shie, R.-F Pan, K.-T |
| description | 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. |
| doi_str_mv | 10.1016/j.crad.2011.04.007 |
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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.</description><identifier>ISSN: 0009-9260</identifier><identifier>EISSN: 1365-229X</identifier><identifier>DOI: 10.1016/j.crad.2011.04.007</identifier><identifier>PMID: 22070946</identifier><identifier>CODEN: CLRAAG</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Aged ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Diseases of the cardiovascular system ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Endovascular Procedures ; Humans ; Male ; Medical sciences ; Mesenteric Artery, Superior - surgery ; Middle Aged ; Radiology ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Retrospective Studies ; Time Factors ; Treatment Outcome ; Vascular Diseases - diagnosis ; Vascular Diseases - surgery</subject><ispartof>Clinical radiology, 2012-01, Vol.67 (1), p.32-37</ispartof><rights>The Royal College of Radiologists</rights><rights>2011 The Royal College of Radiologists</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-e7618bacf4962508803010506e188a4ab3ffd52c4c9f39fb3c4088dd3d0bf5483</citedby><cites>FETCH-LOGICAL-c440t-e7618bacf4962508803010506e188a4ab3ffd52c4c9f39fb3c4088dd3d0bf5483</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0009926011001851$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25390890$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22070946$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chu, S.-Y</creatorcontrib><creatorcontrib>Hsu, M.-Y</creatorcontrib><creatorcontrib>Chen, C.-M</creatorcontrib><creatorcontrib>Yeow, K.-M</creatorcontrib><creatorcontrib>Hung, C.-F</creatorcontrib><creatorcontrib>Su, I.-H</creatorcontrib><creatorcontrib>Shie, R.-F</creatorcontrib><creatorcontrib>Pan, K.-T</creatorcontrib><title>Endovascular repair of spontaneous isolated dissection of the superior mesenteric artery</title><title>Clinical radiology</title><addtitle>Clin Radiol</addtitle><description>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.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the cardiovascular system</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Endovascular Procedures</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mesenteric Artery, Superior - surgery</subject><subject>Middle Aged</subject><subject>Radiology</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vascular Diseases - diagnosis</subject><subject>Vascular Diseases - surgery</subject><issn>0009-9260</issn><issn>1365-229X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2LFDEQhoMo7uzqH_AgfRFPPVY-uqcDIsiyrsKCBxX2FtJJBTP2dNpU98L8e9PMqODBU1XgeSvFU4y94LDlwNs3-63L1m8FcL4FtQXYPWIbLtumFkLfP2YbANC1Fi1csEui_fpUQj1lF0LArvTtht3fjD49WHLLYHOVcbIxVylUNKVxtiOmhapIabAz-spHInRzTOOKzN-xomXCHFOuDkg4zqV3lc2lHp-xJ8EOhM_P9Yp9-3Dz9fpjfff59tP1-7vaKQVzjbuWd711QelWNNB1IIFDAy3yrrPK9jIE3winnA5Sh146VSDvpYc-NKqTV-z1ae6U088FaTaHSA6H4bS80VzsdANSF1KcSJcTUcZgphwPNh8NB7MKNXuzCjWrUAPKFKEl9PI8fukP6P9EfhsswKszUCTaIWQ7ukh_uUZq6DQU7u2JwyLjIWI25CKODn3MxanxKf5_j3f_xN0Qx1h-_IFHpH1a8lg0G25IGDBf1luvl-ccgHcNl78AQ9apqw</recordid><startdate>20120101</startdate><enddate>20120101</enddate><creator>Chu, S.-Y</creator><creator>Hsu, M.-Y</creator><creator>Chen, C.-M</creator><creator>Yeow, K.-M</creator><creator>Hung, C.-F</creator><creator>Su, I.-H</creator><creator>Shie, R.-F</creator><creator>Pan, K.-T</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120101</creationdate><title>Endovascular repair of spontaneous isolated dissection of the superior mesenteric artery</title><author>Chu, S.-Y ; Hsu, M.-Y ; Chen, C.-M ; Yeow, K.-M ; Hung, C.-F ; Su, I.-H ; Shie, R.-F ; Pan, K.-T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-e7618bacf4962508803010506e188a4ab3ffd52c4c9f39fb3c4088dd3d0bf5483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the cardiovascular system</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Endovascular Procedures</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mesenteric Artery, Superior - surgery</topic><topic>Middle Aged</topic><topic>Radiology</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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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. 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| subjects | Aged Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Diseases of the cardiovascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Endovascular Procedures Humans Male Medical sciences Mesenteric Artery, Superior - surgery Middle Aged Radiology Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Retrospective Studies Time Factors Treatment Outcome Vascular Diseases - diagnosis Vascular Diseases - surgery |
| title | Endovascular repair of spontaneous isolated dissection of the superior mesenteric artery |
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