Research progress of treatment options on spontaneous isolated superior mesenteric artery dissection based on computed tomography imaging classification
10.3760/cma.j.cn115610-20230129-00030
- VernacularTitle:CT分型指导自发性孤立性肠系膜上动脉夹层治疗选择的研究进展
- Author:
Yu LI
1
;
Yingxue HAO
Author Information
1. 陆军军医大学第一附属医院血管外科,重庆 400038
- Keywords:
Vascular diseases;
Superior mesenteric artery dissection;
Spontaneous;
Isolated;
Imaging classification;
X-ray computed tomography;
Therapy strategy
- From:
Chinese Journal of Digestive Surgery
2023;22(3):419-424
- CountryChina
- Language:Chinese
-
Abstract:
Because of the low incidence rate, spontaneous isolated superior mesenteric artery dissection (SISMAD) is once considered as a rare disease. In recent years, with the widespread application of enhanced computed tomography (CT), reports of SISMAD have increased. At present, there is no consensus on the optimal treatment of SISMAD, and there are various imaging classifica-tions based on CT. However, clinical management strategy for SISMAD according to any imaging classification based on CT has not yet been acknowledged. Foreign scholars believe that conservative treatment can improve symptoms in most SISMAD patients, while Chinese scholars prefer endo-vascular intervention. The authors review the research progress of treatment options on SISMAD based on computed tomography imaging classification.