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Ryan M. Gobble, MD, Eliott R. Brill, MD, Caron B

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Presentation on theme: "Ryan M. Gobble, MD, Eliott R. Brill, MD, Caron B"— Presentation transcript:

1 Endovascular treatment of spontaneous dissections of the superior mesenteric artery 
Ryan M. Gobble, MD, Eliott R. Brill, MD, Caron B. Rockman, MD, Elizabeth M. Hecht, MD, Patrick J. Lamparello, MD, Glenn R. Jacobowitz, MD, Thomas S. Maldonado, MD  Journal of Vascular Surgery  Volume 50, Issue 6, Pages (December 2009) DOI: /j.jvs Copyright © 2009 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Patients who underwent endovascular stent placement (ESP) had significantly greater reduction in the diameter of the true lumen compared with patients treated expectantly or with anticoagulation (*P < .005). The error bars show the standard deviation. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, A coronal computed tomography (CT) scan demonstrates the isolated superior mesenteric aneurysm (SMA) dissection with severe compression of the true lumen by the thrombosed false lumen (arrow). B, An axial CT scan shows the isolated SMA dissection with severe compression of the true lumen by the thrombosed false lumen (arrow). C, A CT angiogram demonstrates patency of the SMA Xceed stent (arrow) 12 months postoperatively. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, A magnetic resonance angiogram demonstrates a severe focal dissection of the proximal superior mesenteric artery (arrow). B, A computed tomography angiogram shows patency of the Herculink stent (arrow) 11 months postoperatively. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Treatment algorithm for isolated superior mesenteric artery (SMA) dissections. ESP, Endovascular stent placement. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

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