Journal of Vascular Surgery
Volume 50, Issue 6 , Pages 1326-1332 , December 2009

Endovascular treatment of spontaneous dissections of the superior mesenteric artery

  • Ryan M. Gobble, MD

      Affiliations

    • Department of Surgery, New York University Langone Medical Center, New York, NY
    • ,
  • Eliott R. Brill, MD

      Affiliations

    • Department of Surgery, New York University Langone Medical Center, New York, NY
    • ,
  • Caron B. Rockman, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY
    • ,
  • Elizabeth M. Hecht, MD

      Affiliations

    • Department of Radiology, New York University Langone Medical Center, New York, NY
    • ,
  • Patrick J. Lamparello, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY
    • ,
  • Glenn R. Jacobowitz, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY
    • ,
  • Thomas S. Maldonado, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY
    • Corresponding Author InformationReprint requests: Thomas Maldonado, MD, Department of Surgery, New York University Langone Medical Center, 530 First Ave, Ste 6F, New York, NY 10016

Received 20 April 2009 ,Accepted 7 July 2009.

  • Image Result

    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 <

    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.

  • Image Result
    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, A

    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.

  • Image Result
    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 (ar

    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.

  • Image Result
    Treatment algorithm for isolated superior mesenteric artery (SMA) dissections. ESP, Endovascular stent placement.

    Treatment algorithm for isolated superior mesenteric artery (SMA) dissections. ESP, Endovascular stent placement.

 Competition of interest: none.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)01387-1

doi: 10.1016/j.jvs.2009.07.019

Journal of Vascular Surgery
Volume 50, Issue 6 , Pages 1326-1332 , December 2009

Article Tools

* Image Usage & Resolution