Application of endovascular stent placement as a remedy for spontaneous isolated superior mesenteric artery dissection

Vascular ◽  
2013 ◽  
Vol 22 (5) ◽  
pp. 350-355 ◽  
Author(s):  
Yuan Sun ◽  
Zhaolei Chen ◽  
Xicheng Zhang
Keyword(s):  
Superior Mesenteric Artery ◽  
Stent Placement ◽  
Mesenteric Artery ◽  
False Lumen ◽  
Artery Dissection ◽  
Endovascular Stent ◽  
Safe Alternative ◽  
Period Range ◽  
Endovascular Stent Placement ◽  
Superior Mesenteric Artery Dissection

Objectives To present our experience regarding endovascular stent placement for the treatment of spontaneous isolated superior mesenteric artery dissection (SISMAD) and to evaluate the safety and feasibility of the endovascular therapy. Methods The clinical data from six patients with SISMAD who underwent endovascular stent placement in two institutions from March 2010 to May 2012 were analyzed retrospectively. Four patients were implanted a self-expanding stent, and an additional stent was deployed in two of these patients after the first stent was implanted. One patient was subjected to a self-expanding stent implantation combined with coil embolization. The remaining patient underwent thrombectomy plus partial intimectomy 2 months before a balloon-expandable stent was implanted. Results All of the patients recuperated uneventfully without any reoccurrence of the symptoms in the follow-up period (range 12–38 months). Contrast-enhanced computer tomography scanning was performed 3 months after the procedure in all of the patients, and the images showed that the false lumen was nearly thrombosed and that the true lumen was maintained patent. Conclusions Endovascular stent placement is a simple and safe alternative to aggressive surgery or uncertain observation.

scholarly journals Endovascular stent placement for isolated superior mesenteric artery dissection with intestinal ischaemia

VASA ◽  
2019 ◽  
Vol 48 (1) ◽  
pp. 73-78 ◽  
Author(s):  
Baochen Liu ◽  
Chengnan Chu ◽  
Xinxin Fan ◽  
Weiwei Ding ◽  
Xingjiang Wu
Keyword(s):  
Conservative Treatment ◽  
Stent Placement ◽  
Mesenteric Artery ◽  
Intestinal Resection ◽  
Artery Dissection ◽  
Intestinal Ischaemia ◽  
Endovascular Stent ◽  
Endovascular Stent Placement ◽  
Resection And Anastomosis ◽  
Superior Mesenteric Artery Dissection

Abstract. Background: Isolated superior mesenteric artery dissection (ISMAD) is rare, especially when associated with intestinal ischaemia. We report our clinical experience managing this condition. Patients and methods: Medical records from 22 patients with ISMAD and intestinal ischaemia were retrospectively analysed. Conservative treatment was given to all patients as first line therapy. Subsequently, 15 patients received endovascular stent placement and three patients received endovascular stent placement plus intestinal resection and anastomosis. Results: After conservative treatment, the symptoms of three patients were remarkably relieved; however, a repeat contrast CT showed that stenosis was aggravated. Hence, endovascular stent placement was performed in all 15 patients. Enteral nutrition was successfully restored in 12 patients. Three patients showed signs of chronic intestinal ischaemia, including peritonitis and ileus. These patients underwent intestinal resection and anastomosis. Enteral nutrition was restored at postoperative week two. No signs of intestinal ischaemia recurred during two-years of follow-up. Conclusions: We recommend endovascular stent placement as a feasible, effective, and minimally invasive procedure in patients with ISMAD and symptoms of intestinal ischaemia.

Endovascular Stent Placement for Treatment of Spontaneous Isolated Dissection of the Superior Mesenteric Artery

2014 ◽  
Vol 28 (2) ◽  
pp. 445-451 ◽  
Author(s):  
Nan Li ◽  
Qing-Sheng Lu ◽  
Jian Zhou ◽  
Jun-Min Bao ◽  
Zhi-Qing Zhao ◽  
...  
Keyword(s):  
Superior Mesenteric Artery ◽  
Stent Placement ◽  
Mesenteric Artery ◽  
Endovascular Stent ◽  
Endovascular Stent Placement

scholarly journals New technique for false lumen coiling of spontaneous isolated superior mesenteric artery dissection

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Hidenori Yamaguchi ◽  
Satoru Murata ◽  
Tatsuo Ueda ◽  
Takahiko Mine ◽  
Shiro Onozawa ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
False Lumen ◽  
Endovascular Intervention ◽  
Visceral Artery ◽  
Artery Dissection ◽  
Persistent Symptoms ◽  
Catheter Technique ◽  
Superior Mesenteric Artery Dissection

Abstract Background Spontaneous isolated visceral artery dissection is rarely encountered. Endovascular intervention with good outcomes has become popular for patients with persistent symptoms or developing ischemia. We could perform life-saving treatment for a spontaneous isolated superior mesenteric artery dissection with a unique endovascular intervention. Case presentation We describe the case of an 80-year-old man who presented with acute abdominal pain and a spontaneous isolated superior mesenteric artery dissection measuring 35 mm in major diameter and 6.6 mm in minor diameter on abdominal contrast-enhanced computed tomography. After admission, abdominal pain was progressive, and a repeated scan revealed progression of the dissection. As an endovascular intervention, via the bilateral femoral approach, detachable coils were placed in the false lumen of the superior mesenteric artery dissection through the false lumen under the micro-balloon occlusion at the point of re-entry and entry through the true lumen to prevent coil migration. Technical and clinical success was achieved without serious adverse events. Conclusion Coil embolization using micro-balloon assistance combined with the double-catheter technique for a large entry and re-entry false lumen of a spontaneous isolated superior mesenteric artery dissection was useful and feasible.

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