Kim Junghoon, Yoon Chang Jin, Seong Nakjong, Lee Hyukjoon, Kim Young-Joo
Department of Radiology, Seoul National University Bundang Hospital, 82, Gumi-ro 173 beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do 13620, South Korea.
Department of Radiology, Seoul National University Bundang Hospital, 82, Gumi-ro 173 beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do 13620, South Korea.
J Vasc Interv Radiol. 2017 Dec;28(12):1722-1726. doi: 10.1016/j.jvir.2017.05.022.
Stent placement was performed in 10 patients with symptomatic spontaneous dissection of the superior mesenteric artery (SMA). A stent was placed as first-line treatment in 7 patients and as second-line treatment in 3 patients in whom conservative treatment had failed. Abdominal pain completely resolved within 2 days after stent placement, and follow-up (median 53 months; range, 11-99 months) CT angiography revealed complete obliteration of the false lumen and good stent patency in 9 patients. One patient showed asymptomatic stent occlusion at 99-month follow-up. Long-term patency of stent placement in patients with symptomatic SMA dissection seems to be acceptable.
对10例有症状的肠系膜上动脉（SMA）自发性夹层患者进行了支架置入术。7例患者将支架置入作为一线治疗，3例保守治疗失败的患者将支架置入作为二线治疗。腹痛在支架置入后2天内完全缓解，随访（中位时间53个月；范围11 - 99个月）CT血管造影显示9例患者假腔完全闭塞且支架通畅良好。1例患者在99个月随访时出现无症状支架闭塞。有症状的SMA夹层患者支架置入的长期通畅性似乎是可以接受的。
