Correlation of Riolan’s arch diameter to treatment choice in patients with isolated superior mesenteric artery dissection

Yang, Ping; Li, Ruixi; Tang, Guanglei; Wang, Ke; Sun, Mengya; Guan, Jian

doi:10.1007/s00261-022-03622-1

Cited by 3 publications

(1 citation statement)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It can serve as a vital conduit when one or more of these other arteries are occluded, the dilation of which is common in patients with isolated mesenteric artery dissection (ISMAD). The prevalence and diameter of the Riolan arch were significantly increased in the ISMAD group compared with the control group (83.16% vs. 35.79%, P < 0.001; 2.63 ± 0.56 mm vs. 2.12 ± 0.39 mm, P < 0.001) [14].…”

Section: Discussionmentioning

confidence: 84%

Superior mesenteric artery clinical classification and morphometrical analysis

Chmiel,

Batko,

Juszczak

et al. 2023

Folia Morphol

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 84%

Superior mesenteric artery clinical classification and morphometrical analysis

Chmiel,

Batko,

Juszczak

et al. 2023

Folia Morphol

View full text Add to dashboard Cite

show abstract

Hepatic artery diameter predicts bleeding risk after gastroesophageal varices treatment: a contrast-enhanced CT study

Li,

Cai,

Qin

et al. 2024

Abdom Radiol

View full text Add to dashboard Cite

Superior mesenteric artery classification and morphometrical analysis

Chmiel

Batko

Juszczak

et al. 2023

Preprint

View full text Add to dashboard Cite

Purpose The superior mesenteric artery is one of the most important arteries in the abdominal cavity, which is of great clinical importance, especially in surgical procedures and fatal ischemic complications. The aim of this study was to develop a clinical classification of the superior mesenteric artery. Methods Postmortem contrast-enhanced computed tomography of 104 (29.8% female, age 50.7 ± 18.7) human bodies were analyzed. Based on anatomic predisposition to ischemic and iatrogenic complications, a three-tiered clinical classification of the superior mesenteric artery was developed. Type 0 was defined as standard risk for ischemic and iatrogenic complications. Type 1 was defined as increased thromboembolic risk with decreased risk of iatrogenic bleeding, and type 2 was defined as decreased ischemic risk with increased risk of iatrogenic bleeding. The supply area of the superior mesenteric artery was divided into 4 regions: pancreas, caecum, ascending colon, and transverse colon. Results Type 0 (standard risk) was found in 62.5% of cases. Type 1 was most frequently observed in the ascending colon region (15.4%). Type 2 was most frequently observed in the pancreatic region (17.3%). Regarding type, most abnormalities were found in the region of the ascending colon (18.3%), pancreas region (17.3%), and transverse colon (16.3%). Conclusion The proposed clinical classification of SMA links anatomic variations in morphology with their clinical significance. A simple, three-level classification can be easily applied in daily practice and serve as a great support for preoperative evaluation and recognition of patients at risk of iatrogenic or thromboembolic complications.

show abstract

Correlation of Riolan’s arch diameter to treatment choice in patients with isolated superior mesenteric artery dissection

Cited by 3 publications

References 20 publications

Superior mesenteric artery clinical classification and morphometrical analysis

Superior mesenteric artery clinical classification and morphometrical analysis

Hepatic artery diameter predicts bleeding risk after gastroesophageal varices treatment: a contrast-enhanced CT study

Superior mesenteric artery classification and morphometrical analysis

Contact Info

Product

Resources

About