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논문 기본 정보

자료유형
학술저널
저자정보
Jeong Woo Kim (Seoul National University Bundang Hospital) 박형섭 (분당서울대학교병원) Kyung Lim Koo (Seoul National University Bundang Hospital) Chang Sik Shin (Seoul National University Bundang Hospital) Taeseung Lee (Department of Surgery Seoul National University Bundang Hospital Seongnam Korea)
저널정보
대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.36 No.4
발행연도
2020.1
수록면
224 - 232 (9page)

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Purpose: Spontaneous isolated dissection of the celiac artery (SID-CA) and superiormesenteric artery (SID-SMA) are rare vascular diseases with similar presentation,yet comparative studies have not been reported. In this study, we compared theircharacteristics with the aim of providing insights into their etiology. Materials and Methods: Patients diagnosed with symptomatic SID-CA and SIDSMAbetween July 2009 and December 2018 were included. Demographics, clinicalpresentation, radiologic findings, treatment strategies, and outcomes wereanalyzed. Results: Twenty-one patients with SID-CA and 40 patients with SID-SMA werecompared. Demographics and initial abdominal pain characteristics were similar,but pain severity was significantly higher and associated mean fasting time wassignificantly longer in patients with SID-CA than in those with SID-SMA (fastingtime 3.2 vs 2.1 days, P=0.001). Most patients were successfully treated conservativelywithout recurrent pain or aneurysmal dilatation, but 33.3% patients withSID-CA and 17.5% with SID-SMA required endovascular intervention. More favorableremodeling in terms of dissection regression on follow-up computed tomographywas found after stenting, where patients with SID-CA showed better remodelingthan those with SID-SMA. The overall median follow-up period was 22-31months, while for patients with stent insertion, it was 55-77 months, and no stentocclusions were found during this period. Conclusion: Patients with SID-CA presented with severer and longer-durationabdominal pain than those with SID-SMA. Stenting in both groups showed goodlong-term patency and favorable remodeling, with a higher regression rate for SIDCA. Based on our results, patients with SID-CA may benefit more from active endovascularintervention.

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