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01-11-2014 | Original Article

Clinical course and angiographic changes of spontaneous isolated superior mesenteric artery dissection after conservative treatment

Authors: Ui Jun Park, Hyoung Tae Kim, Won Hyun Cho, Young Hwan Kim, Tetsuro Miyata

Published in: Surgery Today | Issue 11/2014

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.

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Title: Clinical course and angiographic changes of spontaneous isolated superior mesenteric artery dissection after conservative treatment
Authors: Ui Jun Park
Hyoung Tae Kim
Won Hyun Cho
Young Hwan Kim
Tetsuro Miyata
Publication date: 01-11-2014
Publisher: Springer Japan
Published in: Surgery Today / Issue 11/2014
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-014-0849-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinical course and angiographic changes of spontaneous isolated superior mesenteric artery dissection after conservative treatment

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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