Clinical course of conservative management for isolated superior mesenteric arterial dissection.

ABSTRACT:

Objectives

Isolated superior mesenteric arterial dissection (ISMAD) is an uncommon type of arterial dissection and treated with surgery, stenting, or conservative management. This study aimed to evaluate the criteria for conservative therapy for ISMAD patients based on imaging findings.

Methods

Eighteen consecutive ISMAD patients without peritoneal irritation at onset were retrospectively studied. The decision to perform stenting was based on the emergence of peritoneal irritation, aneurysm, or mesenteric ischemia. Clinical manifestations, follow-up contrast-enhanced computed tomography (CECT) findings, and patient outcome were evaluated.

Results

Most patients (16, 89%) were successfully treated conservatively; two patients (11%) required endovascular stenting because

SUBMITTER: Sosogi S 

PROVIDER: S-EPMC6538844 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature