Current strategy for the treatment of symptomatic spontaneous isolated dissection of superior mesenteric artery

Abstract

Conservative management without anticoagulation can be applied successfully to the patients with symptomatic SIDSMA. Primary endovascular stenting is indicated if patients have suspected bowel ischemia, compression of the true lumen of the SMA >80%, or SMA aneurysm of >2.0 cm in diameter on initial CT scan. Endovascular stenting can also be provided to the patients in whom initial conservative treatment failed, as a rescue therapy.

Isolated Dissection of the Celiac Artery after Blunt Trauma: A Case Report and Review of Literature

“…Antiplatelet drugs or anticoagulants are commonly used to stabilize the injured arterial wall and prevent thrombotic occlusion of the involved arteries. However, some authors advocate that these antithrombotic drugs should not be used in acute visceral artery dissections, as it will delay thrombosis of the false lumen and possibly thereby lead to propagation of the dissection [18]. Although there has been no direct comparison, a recent systemic review showed that outcomes of spontaneous CA dissection were good regardless of the conservative treatment chosen [10].…”

Impact of Noninvasive Conservative Medical Treatment for Symptomatic Isolated Celiac Artery Dissection

“…2, 3 Although it is relatively rare, arterial dissection can also occur in other peripheral arteries, such as the cervical, coronary, celiac and superior mesenteric arteries. [4][5][6][7][8] Superior mesenteric artery dissection is the most frequent type of digestive artery dissection. 7, 8 Symptomatic isolated celiac artery dissection (ICAD) presenting with acute abdominal pain is a very rare medical condition.…”

“…[4][5][6][7][8] Superior mesenteric artery dissection is the most frequent type of digestive artery dissection. 7, 8 Symptomatic isolated celiac artery dissection (ICAD) presenting with acute abdominal pain is a very rare medical condition. 9- 16 There have been several case reports and reports of small case series, but most of those studies included less than 5 patients, and there is no definite consensus on the management of symptomatic ICAD.…”

Isolated Superior Mesenteric Artery Dissection: A Rare Cause of Chronic Abdominal Pain

“…The asymptomatic patient can be managed conservatively. Endovascular intervention is recommended when aneurysmal dilation exceeds 2 cm in diameter, if there is bowel ischemia, or if there is compression of the lumen of greater than 80% [7].…”