The impact of endovascular treatment on clinical outcomes of stable symptomatic patients with spontaneous superior mesenteric artery dissection

Gao, Peixian; Li, Gang; Chen, Jianfeng; Qiu, Renfeng; Qiao, Changyu; Luo, Kun; Chen, Shuxiao; Wu, Xuejun; Dong, Dianning

doi:10.1016/j.jvs.2020.08.117

Cited by 11 publications

(2 citation statements)

References 29 publications

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“…5 Endovascular repair has been widely applied in aortic and superior mesenteric artery dissection. 6,7 The 2017 European Society for Vascular Surgery guidelines also recommend endovascular revascularization for symptomatic patients. 8 However, only a limited number of patients with IDCA underwent endovascular treatment (EVT).…”

Section: Introductionmentioning

confidence: 99%

Mid-term Results of the Treatment of Isolated Dissection of the Celiac Artery: A Comparative Analysis of Endovascular Versus Conservative Therapy

et al. 2022

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Objectives: Endovascular treatment (EVT) is an alternative method used to treat isolated dissection of the celiac artery (IDCA). However, only a few mid-term results have been reported. This study aimed to analyze and compare the outcomes of endovascular and non-operative therapies for IDCA. Methods: Data from a cohort of consecutive IDCA patients enrolled in the study hospital between April 2012 and September 2020 were retrospectively reviewed. Demographic information, imaging features, treatment modalities, and follow-up results of celiac artery remodeling and adverse events were collected and analyzed. Results: A total of 87 patients were enrolled in the study. Stents were deployed in 68 patients, and non-operative treatment (blood pressure control and pain management) was continued in the remaining 19 patients who did not receive stenting; among these 19 patients, EVT failed in 6. The mean follow-up period was 37.3 (range, 10–85 months) and 44.0 (range, 9–80 months) months in the EVT and non-operative groups, respectively. During follow-up, the overall complete remodeling (absence of residual dissection with no false lumen or no intramural thrombus) rate was significantly higher in the EVT group than in the non-operative group (87.3% vs 7.1%, p<0.001). The incomplete remodeling (improved true lumen with malabsorption or partial thrombosis of the false lumen) rate was not significantly different between the EVT and non-operative groups (6.3% vs 14.3%; p=0.2984). Meanwhile, the adverse event-free survival rates were 89.0%, 67.0%, and 67.0% at 1, 3, and 5 years, respectively, in the EVT group compared with 39.7% and 29.8% at 1 and 3 years in the non-operative group (p<0.0001). Conclusions: EVT for IDCA may be considered an effective management option with a favorable clinical success rate, an encouraging complete remodeling rate, and a satisfactory adverse event-free survival rate. However, further evaluation with a long-term follow-up is required. Clinical Impact Endovascular intervention for isolated dissection of the celiac artery has attracted inadequate attention. In this retrospective study with comparative analysis of endovascular versus conservative therapy for isolated dissection of the celiac artery patients, a better complete remodeling rate and a higher adverse event-free survival rate were observed in the endovascular treatment (EVT) group during follow-up, indicating that EVT could be an effective management option for isolated dissection of the celiac artery.

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Section: Introductionmentioning

confidence: 99%

Mid-term Results of the Treatment of Isolated Dissection of the Celiac Artery: A Comparative Analysis of Endovascular Versus Conservative Therapy

et al. 2022

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“…Patients were followed up for three months after the procedure.Endoscopic ultrasound with Doppler flowmetry (EUSDF) was initially used in a portion of patients with a suspected tumor of the pancreas. 1 2 3…”

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confidence: 99%

Stenosis of superior mesenteric artery – can endoscopic ultrasound become a diagnostic method of choice?

Budimir,

Babić,

Pavic

et al. 2024

ESGE Days 2024

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Endovascular therapy versus medical treatment for spontaneous isolated dissection of the superior mesenteric artery

Qiu

et al. 2022

Cochrane Database of Systematic Reviews

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The impact of endovascular treatment on clinical outcomes of stable symptomatic patients with spontaneous superior mesenteric artery dissection

Cited by 11 publications

References 29 publications

Mid-term Results of the Treatment of Isolated Dissection of the Celiac Artery: A Comparative Analysis of Endovascular Versus Conservative Therapy

Mid-term Results of the Treatment of Isolated Dissection of the Celiac Artery: A Comparative Analysis of Endovascular Versus Conservative Therapy

Stenosis of superior mesenteric artery – can endoscopic ultrasound become a diagnostic method of choice?

Endovascular therapy versus medical treatment for spontaneous isolated dissection of the superior mesenteric artery

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