Options for treatment of spontaneous mesenteric artery dissection

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Options for treatment of spontaneous mesenteric artery dissection H. Edward Garrett, MD Journal of Vascular Surgery Volume 59, Issue 5, Pages 1433-1439.e2 (May 2014) DOI: 10.1016/j.jvs.2014.01.040 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 Angiographic classification of spontaneous isolated superior mesenteric artery (SMA) dissection: type I, patent true and false lumen revealing entry and re-entry sites; type IIa, patent true and false lumen without re-entry; type IIb, patent true lumen but thrombosed false lumen; type III, SMA occlusion. Reprinted from the Journal of Vascular Surgery, 2011; 54:1727-33. Park YJ, Park KB, Kim DI, Do YS, Kim DK, Kim YW. Natural history of spontaneous isolated superior mesenteric artery dissection derived from follow-up after conservative treatment. Copyright 2011, with permission from Elsevier. Journal of Vascular Surgery 2014 59, 1433-1439.e2DOI: (10.1016/j.jvs.2014.01.040) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 Algorithm for treating mesenteric artery dissection (MAD). CTA, Computerized tomographic angiographic imaging; PTA, percutaneous transluminal angioplasty. Journal of Vascular Surgery 2014 59, 1433-1439.e2DOI: (10.1016/j.jvs.2014.01.040) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Preoperative computerized tomographic arterial (CTA) imaging shows superior mesenteric artery (SMA) dissection. B, Patent SMA on CTA imaging 4 years after intimectomy. Journal of Vascular Surgery 2014 59, 1433-1439.e2DOI: (10.1016/j.jvs.2014.01.040) Copyright © 2014 Society for Vascular Surgery Terms and Conditions