Endovascular treatment of spontaneous isolated dissection of the superior mesenteric artery

VernacularTitle:自发性孤立性肠系膜上动脉夹层的腔内治疗
Author: Jianguo ZHOU ; Donglin LI ; Yangyan HE ; Hongkun ZHANG
Publication Type:Journal Article
Keywords: Mesenteric artery,superior; Angioplasty; Stents; Dissection
From: Chinese Journal of General Surgery 2015;30(12):949-952
CountryChina
Language:Chinese
Abstract: Objectives To evaluate the effect of endovascular treatment for spontaneous isolated dissection of the superior mesenteric artery (SIDSMA).Methods There were 41 men and 7 women patients, aged at 32-78 years.46 patients presented with abdominal pain and 3 patients was asymptomatic.The SIDSMA was diagnosed by computed tomography angiography(CTA).Results In the 45 symptomatic patients, one was treated by laparotomy, SMA thrombectomy and necrotic bowel resection.44 patients underwent endovasular treatment, among them 2 patients failed endovasular procedure.The other 42 patients underwent successful intravascular remolding.3 asymptomatic patients underwwent conservative treatment.During the mean (17 ± 4)month follow-up period, computed tomography angiography showed patent true lumen in all the 42 patients.The 2 patients in which the endovascular intervention failed remain symptomatic of recurrent abdominal pain and digestive dysfunction.Conclusions The endovascular interventional therapy is safe and effective for SIDSMA.