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Current strategy for the treatment of symptomatic spontaneous isolated dissection of superior mesenteric artery  Sang-Il Min, MD, Kyung-Chul Yoon, MD,

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Presentation on theme: "Current strategy for the treatment of symptomatic spontaneous isolated dissection of superior mesenteric artery  Sang-Il Min, MD, Kyung-Chul Yoon, MD,"— Presentation transcript:

1 Current strategy for the treatment of symptomatic spontaneous isolated dissection of superior mesenteric artery  Sang-Il Min, MD, Kyung-Chul Yoon, MD, Seung-Kee Min, MD, PhD, Sang Hyun Ahn, MD, Hwan Joon Jae, MD, PhD, Jin Wook Chung, MD, PhD, Jongwon Ha, MD, PhD, Sang Joon Kim, MD, PhD  Journal of Vascular Surgery  Volume 54, Issue 2, Pages (August 2011) DOI: /j.jvs Copyright © 2011 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Repeated computed tomography (CT) scans in long-term follow-up patients. A, Conservative management without anticoagulation resulted in successful thrombosis and obliteration of the false lumen. B, Endovascular stenting resulted in complete obliteration of the false lumen. Patency of the superior mesenteric artery (SMA) stent is demonstrated up to 60 months postoperatively without in-stent restenosis. m, Month. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Reconstructed computed tomography (CT) angiography findings indicated for primary endovascular stenting. A, Severe compression of the true lumen and (B) a patent superior mesenteric artery stent and complete obliteration of the false lumen at 60-month follow-up CT in patient no. 12. C, Large dissecting aneurysm (20.0 mm in diameter) and (D) near complete disappearance of the aneurysm at 36-month follow-up CT in patient no. 13. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Suggested treatment algorithm for symptomatic spontaneous isolated dissection of superior mesenteric artery (SIDSMA). CT, Computed tomography; ES, endovascular stenting. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions


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