|
KMID : 1033420130160010235
|
|
Journal of Korean Society of Cardio-Vascular Interventional Technology
2013 Volume.16 No. 1 p.235 ~ p.235
|
|
|
Spontaneous Isolated Dissection of Superior Mesenteric Artery - The Role of Endovascular Stent Placement
|
|
Kim Young-Joo
|
|
|
Abstract
|
|
|
Purpose: To evaluate the clinical efficacy of endovascular stent placement for the treatment of symptomatic spontaneous isolated dissection of superior mesenteric artery (SIDSMA).
Materials and Methods: This retrospective study was conducted on 23 consecutive patients (mean 52 years, ranged 43-68) with symptomatic SIDSMA between January 2004 and October 2012. Sixteen patients were treated with conservative management with (n=13) or without anticoagulation (n=3). Seven patients with suspected bowel ischemia underwent
self-expandable stent placement as a primary treatment. The technical results, complications, and clinical outcomes were analyzed.
Results: Conservative treatment was successful in 13 patients (81.2%). Primary stent placement was technically successful in all 7 patients. Stent placement was additionally performed in 3 patients in whom the conservative treatment failed. There was no complication associated with stent placement. Abdominal pain completely resolved in all patients without relapse during the follow-up (mean 30.5 months, ranged 1-95). The fasting time was significantly
shorter in patients with primary stent placement (mean 2.4 days) than in those treated conservatively (mean 4.5 days) (p<0.05). Follow-up CT demonstrated obliteration of false lumen and patent stents up to 62 months.
Conclusions: Endovascular stent placement is a safe and effective treatment in symptomatic SIDSMA with high technical and clinical success rates and long-term patency. It can be employed as primary treatment in patients with suspected bowel ischemia or as a rescue therapy in patient with unsuccessful conservative treatment.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|