Treatment Strategies and Outcomes of Symptomatic Spontaneous Isolated Superior Mesenteric Artery Dissection: A Systematic Review and Meta-analysis

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Yating ZhuJiang Xiong

Abstract

To analyze the published treatment experience with symptomatic spontaneous isolated superior mesenteric artery dissection (SISMAD). A literature search of the PubMed and Cochrane databases was conducted for articles on symptomatic SISMAD published in English from January 2007 to January 2018. Case series reporting on both treatment modalities and outcomes were included, while those on traumatic or iatrogenic SMA dissection or SMA dissection accompanied by aortic or other visceral artery dissection were excluded. Overall event rates for treated symptomatic SISMAD were calculated using pooled analyses. The rate of initial conservative treatment, the success rate, the rate of conversion to intervention, and the failure rate in patients with vs without antithrombotic therapy were calculated for each study and compared using a meta-analysis of proportions. The 25 articles selected encompassed 616 SISMAD cases, of which 514 were symptomatic cases eligible for the analysis. Among the latter, initial treatment consisted of conservative therapy in 447 (87.0%) patients and surgical interventions in 67 (13.0%) patients [45 (8.7%) endovascular procedures and 22 (4.3%) open surgeries]. Among conservative cases, 238 (53.2%) received antithro...Continue Reading

References

May 12, 1998·Journal of Vascular Surgery·H YasuharaT Muto
Apr 1, 2000·Annals of Vascular Surgery·S R SparksE L Owens
Jan 30, 2002·Cardiovascular and Interventional Radiology·P J SheldonS B Oglevie
Jul 14, 2007·European Journal of Radiology·Ichiro SakamotoMasataka Uetani
Feb 12, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·W S YunD K Kim
Jul 10, 2009·Langenbeck's Archives of Surgery·Philippe ZerbibJean Pierre Chambon
Sep 29, 2009·Journal of Vascular Surgery·Ryan M GobbleThomas S Maldonado
Feb 22, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·B S ChoH Y Ahn
Aug 28, 2012·Surgery Today·Masatoshi JibikiToshifumi Kudo
Jan 25, 2013·Journal of Vascular Surgery·Zhihui DongYuqi Wang
Mar 14, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Z Z JiaG M Jiang
Mar 30, 2013·Journal of Vascular Surgery·Jing Yuan LuanJin Tao Han
Jun 25, 2013·Annals of Vascular Surgery·Ji Yoon Choi, Oh Jung Kwon
Mar 25, 2014·Journal of Vascular Surgery·H Edward Garrett
Aug 21, 2014·World Journal of Emergency Surgery : WJES·Markus Udo WagenhäuserAlexander Oberhuber
Oct 10, 2014·Annals of Vascular Diseases·Hirono SatokawaKazuhira Maehara
Dec 11, 2014·World Journal of Gastroenterology : WJG·Peng-Hua LvHai-Bin Shi
Nov 26, 2015·Journal of Vascular Surgery·Jing Yuan LuanJin Tao Han
Apr 28, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Koichi TomitaYuko Kitagawa
May 20, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Hitoshi Ogino
Dec 13, 2017·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Hyangkyoung KimHong Rae Cho

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Citations

Feb 14, 2020·International Angiology : a Journal of the International Union of Angiology·Hyangkyoung Kim, Nicos Labropoulos
Mar 17, 2021·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·S Acosta, F B Gonçalves
Oct 10, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Yadong ShiHaobo Su

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Methods Mentioned

BETA
dissection
SMA

Software Mentioned

Comprehensive Meta - analysis
STATA

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