caa a22 4500 605492018 CHVBK 20210128100512.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00261-014-0182-1 doi (NATIONALLICENCE)springer-10.1007/s00261-014-0182-1 Immediate and middle term outcome of symptomatic spontaneous isolated dissection of the superior mesenteric artery [Elektronische Daten] [Jian-Jie Rong, Ai-Min Qian, Hong-Fei Sang, Qing-You Meng, Tie-Jun Zhao, Xiao-Qiang Li] Purpose: Spontaneous isolated dissection of the superior mesenteric artery (SIDSMA) is a rare but fatal condition. Herein, we report the therapeutic outcome of a contemporary series of 12 patients with SIDSMA who were treated with conservative, anticoagulation, or endovascular therapy. Methods: Revascularization was measured according to recanalization of the primary arterial occlusive lesion and reperfusion was measured by flow through the occluded vessel. Pain was evaluated by using the visual analog scale (VAS) at admission and at each follow-up visit. Results: Type I SIDSMA was seen in 3 (25%) patients, type IIa in 4 (33.3%) patients, and type IIb in 5 (41.7%) patients. No patient had type III SIDSMA. The false lumens were patent in 6 (50%) patients. Partial thrombosis in the false lumen was demonstrated in CT scans in 5 (41.7%) patients and total thrombosis in 1 (8.3%) patient. Four (33.3%) patients received conservative therapy, and 2 (16.7%) patients received anticoagulation therapy. All six patients resumed normal blood flow in the SMA. The remaining six patients received endovascular stenting. After stent placement, excellent distal blood flow was restored. Abdominal pain was completely resolved in all patients except in one patient. No complications associated with SMA dissection occurred. Conclusion: If bowel perfusion is not compromised and the SMA aneurysm is not likely to rupture in patients with a symptomatic SIDSMA, conservative, or anticoagulation therapy can be considered. If patient has sustained intestinal ischemic symptoms, and severe compression of the true lumen, or dissecting aneurysm likely to rupture, endovascular therapy, or surgery should be adopted. Springer Science+Business Media New York, 2014 Spontaneous isolated dissection of the superior mesenteric artery nationallicence Conservative therapy nationallicence Anticoagulation nationallicence Endovascular stenting nationallicence Rong Jian-Jie Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, 215004, Suzhou, China aut Qian Ai-Min Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, 215004, Suzhou, China aut Sang Hong-Fei Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, 215004, Suzhou, China aut Meng Qing-You Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, 215004, Suzhou, China aut Zhao Tie-Jun Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, 215004, Suzhou, China aut Li Xiao-Qiang Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, 215004, Suzhou, China aut Abdominal Imaging Springer US; http://www.springer-ny.com 40/1(2015-01-01), 151-158 0942-8925 40:1<151 2015 40 261 https://doi.org/10.1007/s00261-014-0182-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00261-014-0182-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rong Jian-Jie Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, 215004, Suzhou, China aut NATIONALLICENCE 700 1- Qian Ai-Min Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, 215004, Suzhou, China aut NATIONALLICENCE 700 1- Sang Hong-Fei Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, 215004, Suzhou, China aut NATIONALLICENCE 700 1- Meng Qing-You Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, 215004, Suzhou, China aut NATIONALLICENCE 700 1- Zhao Tie-Jun Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, 215004, Suzhou, China aut NATIONALLICENCE 700 1- Li Xiao-Qiang Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, 215004, Suzhou, China aut NATIONALLICENCE 773 0- Abdominal Imaging Springer US; http://www.springer-ny.com 40/1(2015-01-01), 151-158 0942-8925 40:1<151 2015 40 261