The Classification and Management Strategy of Spontaneous Isolated Superior Mesenteric Artery Dissection.

Abstract:

:Spontaneous isolated superior mesenteric artery dissection (SISMAD) is an uncommon but potentially catastrophic pathology. Multiple classification schemes have been proposed for this occurrence. Although no consensus has emerged regarding which classification should be used, Li's classification scheme is more precise and complete compared to other classification systems and can be used to guide the treatment of SISMAD. Initial conservative treatment is promising, with favorable early and long-term outcomes for most patients; endovascular treatment is recommended for patients with persistent/recurrent symptoms after conservative treatment; surgical treatment should be performed without delay for patients with arterial rupture, intestinal necrosis, or failed endovascular treatment.

journal_name

Korean Circ J

authors

Jia Z,Tu J,Jiang G

doi

10.4070/kcj.2016.0237

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

425-431

issue

4

eissn

1738-5520

issn

1738-5555

journal_volume

47

pub_type

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