Morphologic findings and management strategy of spontaneous isolated dissection of the celiac artery Jie Sun, MD, Dong-lin Li, MD, PhD, Zi-heng Wu, MD,

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Management strategy for spontaneous isolated dissection of the superior mesenteric artery based on morphologic classification Dong-lin Li, MD, Yang-yan.

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Presentation transcript:

Morphologic findings and management strategy of spontaneous isolated dissection of the celiac artery Jie Sun, MD, Dong-lin Li, MD, PhD, Zi-heng Wu, MD, Yang-yan He, MD, Qian-qian Zhu, MD, Hong-kun Zhang, MD, PhD Journal of Vascular Surgery Volume 64, Issue 2, Pages 389-394 (August 2016) DOI: 10.1016/j.jvs.2015.12.050 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 Flowchart of patients included in the study. Journal of Vascular Surgery 2016 64, 389-394DOI: (10.1016/j.jvs.2015.12.050) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 Morphologic classification of spontaneous isolated dissection of the celiac artery (SIDCA). Type I, patent false lumen with both entry and re-entry; type II, “cul-de-sac” shaped false lumen without re-entry; type III, thrombosed false lumen with an ulcer-like projection (ULP); type IV, completely thrombosed false lumen without an ULP; and type V, aneurysm development in association with dissection. Journal of Vascular Surgery 2016 64, 389-394DOI: (10.1016/j.jvs.2015.12.050) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 A type IIIa patient treated conservatively. A, Initial computed tomography (CT); B, CT after 6 months; and C, CT after 12 months. Journal of Vascular Surgery 2016 64, 389-394DOI: (10.1016/j.jvs.2015.12.050) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 4 A type IIIb patient treated endovascularly. A-C, The dissection involved the celiac trunk, splenic artery, and hepatic artery. True lumen was almost totally occluded. D and E, The false lumen disappeared, and the stent and branches were patent after bare stent implantation in celiac trunk and hepatic artery. Journal of Vascular Surgery 2016 64, 389-394DOI: (10.1016/j.jvs.2015.12.050) Copyright © 2016 Society for Vascular Surgery Terms and Conditions