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World J Gastroenterol. Dec 7, 2014; 20(45): 17179-17184
Published online Dec 7, 2014. doi: 10.3748/wjg.v20.i45.17179
Published online Dec 7, 2014. doi: 10.3748/wjg.v20.i45.17179
Management of isolated superior mesenteric artery dissection
Peng-Hua Lv, Li-Fu Wang, Department of Interventional Radiology, Northern Jiangsu People’s Hospital, Yangzhou 225001, Jiangsu Province, China
Peng-Hua Lv, Hai-Bin Shi, Department of Radiology, First Hospital Affiliated to Nanjing Medical University, Nanjing 210001, Jiangsu Province, China
Xi-Cheng Zhang, Zhao-Lei Chen, Department of Vascular Surgery, Northern Jiangsu People’s Hospital, Yangzhou 225001, Jiangsu Province, China
Author contributions: Lv PH, Zhang XC, Wang LF, Chen ZL and Shi HB performed the research; Lv PH wrote the paper.
Correspondence to: Dr. Hai-Bin Shi, Department of Radiology, First Hospital Affiliated to Nanjing Medical University, 300 Guangzhou Road, Nanjing 210001, Jiangsu Province, China. shihb@vip.sina.com
Telephone: +86-25-83714511 Fax: +86-25-83718836
Received: May 24, 2014
Revised: July 20, 2014
Accepted: September 29, 2014
Published online: December 7, 2014
Revised: July 20, 2014
Accepted: September 29, 2014
Published online: December 7, 2014
Core Tip
Core tip: Therapeutic options for isolated superior mesenteric artery dissection include conservative management, endovascular treatments or open surgery. In this small series, conservative therapy was indicated for asymptomatic patients or those with short-term symptoms, while endovascular or surgical therapy was recommended for those with clinical or imaging evidence of bowel necrosis or imminent arterial rupture. Percutaneous endovascular reconstruction with bare stent implantation is a feasible treatment choice with a high success rate and good clinical outcome.