Superior Mesenteric Artery

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Martin Bjorck - One of the best experts on this subject based on the ideXlab platform.

Hong Shan - One of the best experts on this subject based on the ideXlab platform.

  • value of endovascular stent placement for symptomatic spontaneous isolated Superior Mesenteric Artery dissection
    European Journal of Radiology, 2013
    Co-Authors: Pengfei Pang, Zaibo Jiang, Mingsheng Huang, Bin Zhou, Kangshun Zhu, Hong Shan
    Abstract:

    Abstract Objective To evaluate the feasibility and efficacy of endovascular stent placement for the treatment of symptomatic spontaneous isolated Superior Mesenteric Artery dissection. Materials and methods This retrospective study was undertaken in 12 consecutive patients who suffered from symptomatic spontaneous isolated Superior Mesenteric Artery dissection. Seven patients with severe clinical symptoms underwent endovascular stent placement as a primary treatment and the other 5 patients received conservative treatment. The technical results, complications and clinical outcomes were analyzed. Follow-up was performed with computed tomographic angiography. Results Primary endovascular stent placement was successfully performed in 7 patients with severe clinical symptoms. Successful conservative treatment was achieved in 3 patients. Endovascular stent placement was additionally performed in 2 patients with unsuccessful conservative treatment. A stent was misplaced in the false lumen in one of those two patients due to a severely stenotic true lumen. The fasting time and length of stay were significantly shorter in patients with successful endovascular therapy (median: 3 days and 5.5 days) than in those conducted conservatively (median: 9 days and 14 days) (p  Conclusion Endovascular stent placement is a safe and feasible therapeutic approach for symptomatic spontaneous isolated Superior Mesenteric Artery dissection with immediate success and satisfactory outcomes.

Kan Takeda - One of the best experts on this subject based on the ideXlab platform.

Peng Xiao - One of the best experts on this subject based on the ideXlab platform.

  • diagnosis of spontaneous isolated Superior Mesenteric Artery dissection using computed tomography angiography
    Chinese Journal of Gastrointestinal Surgery, 2012
    Co-Authors: Kewen Peng, Bixian Shen, Yan Gao, Zhibin Zeng, Chunrong Wang, Peng Xiao
    Abstract:

    Objective To investigate the characteristics of the spontaneous isolated Superior Mesenteric Artery dissection (SISMAD) on computed tomography angiography (CTA).Methods Twentyfive patients with unexplained acute abdominal pain received CTA.Results Four cases with the SISMAD were found and all were male with a mean age of (45.3±6.7) years.Two patients had hypertension history.CT showed enlarged diameter of the Superior Mesenteric Artery with dissection in 4cases,intimal flap and visible false lumen in 2 cases,ulcer-like laceration in 1 case,and intranural hematoma in 1 case.The proximal lacerations or entries were all at the proximal segment of the Superior Mesenteric Artery.CTA classifications were type Ⅰ a (n=2),Ⅱ b (n=1),and Ⅲ (n=1).Two patients underwent repeated CTA when discharged,and progressive changes were discovered.Conclusion CTA can clearly show the characteristics of the Superior Mesenteric Artery dissection,confirm the diagnosis,and provide an important basis for the classification and follow-up observation. Key words: Artery dissection;  Superior Mesenteric Artery;  Tomography, X-ray computed; Angiography

Y. Shibamoto - One of the best experts on this subject based on the ideXlab platform.