scholarly journals IP227. Outcome of Conservative Management of Spontaneous Celiac Artery Dissection

2016 ◽  
Vol 63 (6) ◽  
pp. 127S
Author(s):  
Akihiro Hosaka ◽  
Masaru Nemoto ◽  
Tetsuro Miyata
Keyword(s):  
Conservative Management ◽  
Celiac Artery ◽  
Artery Dissection

scholarly journals Outcomes of conservative management of spontaneous celiac artery dissection

2017 ◽  
Vol 65 (3) ◽  
pp. 760-765.e1 ◽  
Author(s):  
Akihiro Hosaka ◽  
Masaru Nemoto ◽  
Tetsuro Miyata
Keyword(s):  
Conservative Management ◽  
Celiac Artery ◽  
Artery Dissection

Symptomatic spontaneous celiac artery dissection treated by conservative management: serial imaging findings

2010 ◽  
Vol 36 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Seonok Oh ◽  
Yong-Pil Cho ◽  
Ji-Hoon Kim ◽  
Sung Shin ◽  
Tae-Won Kwon ◽  
...  
Keyword(s):  
Conservative Management ◽  
Celiac Artery ◽  
Artery Dissection ◽  
Imaging Findings ◽  
Serial Imaging

scholarly journals Transcirculation microballoon-assisted coil embolization for dorsal pancreatic artery aneurysm due to celiac artery dissection: A case report

2021 ◽  
Vol 9 ◽  
pp. 2050313X2098734
Author(s):  
Yuki Takara ◽  
Daisuke Yunaiyama ◽  
Toru Saguchi ◽  
Natsuhiko Shirota ◽  
Takafumi Yamada ◽  
...  
Keyword(s):  
Case Report ◽  
Coil Embolization ◽  
Balloon Catheter ◽  
Artery Aneurysm ◽  
Celiac Artery ◽  
Endovascular Surgery ◽  
Artery Dissection ◽  
Dorsal Pancreatic Artery ◽  
Pancreatic Artery

The dorsal pancreatic artery is a part of peripancreatic arcade connecting celiac artery to transpancreatic artery. A dorsal pancreatic artery aneurysm derived from dissection of celiac artery is a rare pathology, and it sometimes requires ingenious strategy in an endovascular surgery. Hereby, we report a case of a patient who underwent coil embolization for dorsal pancreatic artery aneurysm due to celiac artery dissection by applying transcirculation approach of a balloon catheter through the peripancreatic arcade, which was successfully achieved.

scholarly journals Management of Spontaneous Isolated Mesenteric Artery Dissection: A Systematic Review

2021 ◽  
pp. 145749692110005
Author(s):  
S. Acosta ◽  
F. B. Gonçalves
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Conservative Therapy ◽  
Case Series ◽  
Celiac Artery ◽  
Artery Dissection ◽  
Covered Stents ◽  
Bowel Infarction

Background and Aims: There are increasing reports on case series on spontaneous isolated mesenteric artery dissection, that is, dissections of the superior mesenteric artery and celiac artery, mainly due to improved diagnostic capacity of high-resolution computed tomography angiography performed around the clock. A few case–control studies are now available, while randomized controlled trials are awaited. Material and Methods: The present systematic review based on 97 original studies offers a comprehensive overview on risk factors, management, conservative therapy, morphological modeling of dissection, and prognosis. Results and Conclusions: Male gender, hypertension, and smoking are risk factors for isolated mesenteric artery dissection, while the frequency of diabetes mellitus is reported to be low. Large aortomesenteric angle has also been considered to be a factor for superior mesenteric artery dissection. The overwhelming majority of patients can be conservatively treated without the need of endovascular or open operations. Conservative therapy consists of blood pressure lowering therapy, analgesics, and initial bowel rest, whereas there is no support for antithrombotic agents. Complete remodeling of the dissection after conservative therapy was found in 43% at mid-term follow-up. One absolute indication for surgery and endovascular stenting of the superior mesenteric artery is development of peritonitis due to bowel infarction, which occurs in 2.1% of superior mesenteric artery dissections and none in celiac artery dissections. The most documented end-organ infarction in celiac artery dissections is splenic infarctions, which occurs in 11.2%, and is a condition that should be treated conservatively. The frequency of ruptured pseudoaneurysm in the superior mesenteric artery and celiac artery dissection is very rare, 0.4%, and none of these patients were in shock at presentation. Endovascular therapy with covered stents should be considered in these patients.

Celiac Artery Dissection in the Setting of Blunt Abdominal Trauma

2018 ◽  
Vol 84 (8) ◽  
pp. 335-336 ◽  
Author(s):  
Jonathan Nguyen ◽  
Christian Bramwell ◽  
Maaz Sheikh ◽  
Crystal Koerner ◽  
Yasmin Tootla ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Celiac Artery ◽  
Artery Dissection

Spontaneous celiac artery dissection

2020 ◽  
Vol 38 (7) ◽  
pp. 1545.e3-1545.e5
Author(s):  
Jessica R. Hoglund ◽  
Joseph H. Blackwell ◽  
Michael A. Gibbs
Keyword(s):  
Celiac Artery ◽  
Artery Dissection

Effectiveness of the Conservative Therapy for Symptomatic Isolated Celiac Artery Dissection

2017 ◽  
Vol 40 (7) ◽  
pp. 994-1002 ◽  
Author(s):  
Shaoqin Li ◽  
Lihua Cheng ◽  
Jianfei Tu ◽  
Yabin Jiao ◽  
Xulu Wu ◽  
...  
Keyword(s):  
Conservative Therapy ◽  
Celiac Artery ◽  
Artery Dissection

Outcomes and radiographic findings of symptomatic isolated mesenteric artery dissection with conservative management

Vascular ◽  
2020 ◽  
pp. 170853812091841
Author(s):  
Yingjiang Xu ◽  
Xiujuan Gao ◽  
Dan Shang ◽  
Jianyong Liu ◽  
Bi Jin ◽  
...  
Keyword(s):  
Conservative Management ◽  
Mesenteric Artery ◽  
Clinical Manifestations ◽  
Morphological Characteristics ◽  
Epidemiological Data ◽  
Dissecting Aneurysm ◽  
First Episode ◽  
Artery Dissection ◽  
Type I ◽  
Radiographic Findings

Objectives The aim of this study was to evaluate the computed tomography follow-up outcomes and radiographic findings of symptomatic isolated mesenteric artery dissection (IMAD) after conservative management. Methods In this retrospective study, 130 consecutive patients with symptomatic IMAD from three institutions were enrolled from January 2011 to December 2019. The general epidemiological data, clinical manifestations, first-episode symptoms, imaging findings, and treatment strategy selection were analyzed from the medical records. Results Among 130 patients diagnosed with symptomatic IMAD, positive remodeling of the SMA was achieved in 75.38% (98/130), and negative remodeling of the SMA was achieved in 24.62% (32/130). In the positive remodeling group, complete remodeling was achieved 39.23% (51/130) (type I 6 patients, type IIa 10 patients, type IIb 35 patients), in which type IIb was the most ( p = 0.004). Moreover, of the 32 patients in whom negative remodeling of the SMA was achieved, significant differences were observed between the type IIa with respect to dissecting aneurysm formation ( p = 0.04).Of the seven factors analyzed with a logistic regression model identified three factors significantly associated with negative remodeling: length of dissection (Waldχ2 13.331; OR 6.945; 95% CI 2.762–10.498; p = 0.014), true lumen residual diameter (TLRD) (Waldχ2 9.626; OR 7.85; 95% CI 1.892–19.063; p = 0.022), and branch involvement (Waldχ2 11.812; OR 7.247; 95% CI 1.245–14.830; p = 0.011). Conclusion The prognosis of most symptomatic IMAD has a tendency to positive remodeling after conservative management, in which the initial type IIb classification is common. In contrast, risk factors for negative remodeling were type IIa, length of dissection, TLRD, and branch involvement. Patients with these morphological characteristics may not benefit from conservative management.

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