+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Optimal management strategy for spontaneous isolated dissection of a visceral artery



Optimal management strategy for spontaneous isolated dissection of a visceral artery



Vascular 26(2): 169-174



Objectives To describe our clinical experiences and recommend a management strategy for spontaneous isolated dissection of a visceral artery. Methods A retrospective study of patients from December 2005 to December 2015 was performed. Thirty-two patients had spontaneous isolated dissection of a visceral artery. Clinical features, computed tomography findings, the treatment method, and follow-up results were evaluated. Results There were 28 men and 4 women (mean age, 54 years). Dissection locations were the celiac artery in 10, superior mesenteric artery in 17, and celiac artery and superior mesenteric artery in 5 patients. Celiac artery stenosis existed with spontaneous isolated dissection of a visceral artery at a high rate. After diagnosis, the blood pressure of all patients was immediately controlled to a lower level. Three patients with arterial rupture and one patient with bowel infarction underwent operations for complications. Overall, the treatment of dissection involved drug therapy alone. The last follow-up computed tomography results of the true lumen residual ratio and the length of the dissected artery improved compared to the values on admission; the maximum diameter of the dissected artery did not enlarge. Eleven patients almost completely improved. No patients had any adverse event. Conclusions Most patients with spontaneous isolated dissection of a visceral artery can be first treated conservatively for dissection with strict blood pressure control and surveillance.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 060048381

Download citation: RISBibTeXText

PMID: 28828936

DOI: 10.1177/1708538117722879


Related references

Management of spontaneous isolated visceral artery dissection. Annals of Vascular Surgery 29(3): 470-474, 2015

Cultural adaptation of an evidence-based lifestyle intervention for diabetes prevention in Chinese women at risk for diabetes: results of a randomized trial. International Health 10(5): 391-400, 2018

Approaches to the management of spontaneous isolated visceral artery dissection. Annals of Vascular Surgery 27(6): 750-757, 2013

Management of symptomatic spontaneous isolated visceral artery dissection: is emergent intervention mandatory?. Annals of Vascular Surgery 23(1): 90-94, 2008

Management strategy of isolated spontaneous dissection of the superior mesenteric artery. Annals of Vascular Diseases 7(3): 232-238, 2014

The Classification and Management Strategy of Spontaneous Isolated Superior Mesenteric Artery Dissection. Korean Circulation Journal 47(4): 425-431, 2017

Morphologic findings and management strategy of spontaneous isolated dissection of the celiac artery. Journal of Vascular Surgery 64(2): 389-394, 2016

Regarding "Morphologic findings and management strategy of spontaneous isolated dissection of the celiac artery". Journal of Vascular Surgery 64(5): 1549-1550, 2016

Spontaneous isolated left gastric artery dissection: unusual visceral artery dissection. Acute Medicine and Surgery 3(4): 369-371, 2016

Management strategy for spontaneous isolated dissection of the superior mesenteric artery based on morphologic classification. Journal of Vascular Surgery 59(1): 165-172, 2014

Regarding "Management strategy for spontaneous isolated dissection of the superior mesenteric artery based on morphologic classification". Journal of Vascular Surgery 59(3): 876-877, 2014

Clinical characteristics of spontaneous isolated visceral artery dissection. Journal of Vascular Surgery 67(4): 1127-1133, 2018

Isolated spontaneous dissection of a visceral artery: a rare cause of epigastric pain. Emergency Radiology 22(3): 215-220, 2015

Spontaneous Isolated Visceral Artery Dissection in a Middle Aged Male. Case Reports in Emergency Medicine 2017: 3704348, 2017

Current Treatment Strategy for Spontaneous Isolated Dissection of the Superior Mesenteric Artery. Circulation Journal 80(6): 1323-1325, 2016