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Presentation, treatment, and outcomes in patients with ...
Spontaneous isolated celiac or superior mesenteric artery (SMA) dissection (SICMAD) is a rare clinical entity. Not much is known about the natural history and appropriate treatment. We retrospectively queried a prospectively collected institutional radiology database for all patients diagnosed with SICMAD from 1990 to 2017. We identified 42 arteries in 40 patients (83.3% male), mean age 54.8 ...
superior mesenteric artery dissection

[PDF File]Management of Spontaneous Isolated Dissection of the ...
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• Spontaneous dissection of SMA not associated with aortic dissection –A rare and often fatal event which has mostly been treated with surgery in the past. –Recently, the chances in detecting this pathology have been increasing with the advance of diagnostic imaging. Spontaneous Dissection of the SMA 3. Spontaneous Dissection of the SMA •CT findings –intimal flap –thrombosis of the ...
nonocclusive dissecting mesentery

Review Article Diagnosis and Management of Isolated ...
SMA dissection with no long term sequelae, progressive involvement of the whole vessel, ... on SMA that described the three treatment modalities used for the management of SMA. These included conservative, surgical and endovascular management. The search strategies included various combinations of text-words and medical subject headings (MeSH) to generate two subsets of …
causes of sma dissection

Current Treatment Strategy for Spontaneous Isolated ...
In summary, for isolated SMA dissection, initial conserva-tive management with or without antithrombotic treatment is promising with favorable early and long-term outcomes. For the subset of patients with persistent stenosis/occlusion of the TL of the SMA, bowel infarction or aneurysm formation, EVT or OSR without delay is recommended. References 1. Alfonso F, Bastante T, Rivero F, Cuesta J ...
sma dissection flap

[PDF File]Medical therapy and intervention do not improve ...
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Isolated SMA dissection was more common than celiac artery dissection (n ¼ 158 and 81, respectively). Concomitant dissection of both arteries was rare (n ¼ 12). The mean dissection length was signiﬁcantly longer in symptomatic patients than in asymptomatic patients in both the celiac artery (27 vs 18 mm; P¼ .01) and the SMA (64 vs 40 mm; P< .001). Primary treatment was medical in 146 ...
spontaneous lad dissection

[PDF File]Three isolated superior mesenteric artery dissections ...
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Three isolated superior mesenteric artery dissections: Update of previous case reports, diagnostics, and treatment options John T. Morris, DO,a John Guerriero, DO,b Joseph G. Sage, DO,a,b and M. Ashraf Mansour, MDb Grand Rapids, Mich Isolated superior mesenteric artery dissection is a relatively rare vascular pathology.
mesenteric artery tear

Management of acute type B aortic dissection
ing of the superior mesenteric artery (SMA) with restoration of distal ﬂow in a patient (computed tomographic scan shown inFigure 1, D) with acute complicated type B dissection with static SMA malperfu-sion. Panel 4 Hughes et al S204 The Journal of Thoracic and Cardiovascular Surgery c …
focal dissection sma

[PDF File]Isolated Spontaneous Dissection of the Superior Mesenteric ...
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SMA. The mainstay of treatment of the spontaneous dissection of the SMA has been surgery (1, 2). Surgical techniques have included graft interposition, reimplantation of SMA on the aorta, intimectomy, right gastroepiploic artery bypass, and simple arteriotomy with thrombectomy (1). However, surgery was generally accompanied with a variety of complications. Recently, successful conservative ...
nonocclusive dissecting mesentery treatment

A rare cause of acute abdomen: spontaneous dissection of ...
Spontaneous superior mesenteric artery (SMA) dissection is a rare, but poten-tially fatal disease. Prompt diagnosis and treatment of SMA dissections result in a lower prevalence of intestinal infarction and mortality. In the current era, imaging techniques can promptly diagnose SMA dissection; however, no deﬁni-tive guidelines have been established to treat this condition. Keywords Acute ...
superior mesenteric artery dissection

The Classification and Management Strategy of Spontaneous ...
dissection is limited to the curved part of the SMA with a visible false lumen but without a visible re-entry site, it can be described as a type B-IIa, and when the dissection extends to the distal trunk of the SMA with thrombosed false lumen and occluded true lumen, it can be described as a type C-III.
nonocclusive dissecting mesentery

Sma dissection treatment