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Contemporary management of median arcuate ligament syndrome provides early symptom improvement  Jesse A. Columbo, MD, Thadeus Trus, MD, Brian Nolan, MD,

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Presentation on theme: "Contemporary management of median arcuate ligament syndrome provides early symptom improvement  Jesse A. Columbo, MD, Thadeus Trus, MD, Brian Nolan, MD,"— Presentation transcript:

1 Contemporary management of median arcuate ligament syndrome provides early symptom improvement 
Jesse A. Columbo, MD, Thadeus Trus, MD, Brian Nolan, MD, MS, Philip Goodney, MD, MS, Eva Rzucidlo, MD, Richard Powell, MD, Daniel Walsh, MD, David Stone, MD  Journal of Vascular Surgery  Volume 62, Issue 1, Pages (July 2015) DOI: /j.jvs Copyright © 2015 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Kaplan-Meier 6-month freedom from (A) symptoms and (B) reintervention. SE, Standard error. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Intraoperative photograph shows the laparoscopic approach to the celiac axis. B, Laparoscopic division of median arcuate ligament (MAL) fibers. Note celiac stenosis and poststenotic dilatation (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Diagnostic angiography shows a persistent celiac artery defect (arrow) after laparoscopic median arcuate ligament (MAL) release in the setting of recurrent symptoms. B, Technically successful celiac artery stenting of the persistent defect. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Multidisciplinary clinical diagnostic and therapeutic algorithm. CT, Computed tomography; GI, gastrointestinal; MAL, median arcuate ligament; PTA, percutaneous transluminal angioplasty. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

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