Department of Vascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Vascular. 2024 Dec;32(6):1314-1321. doi: 10.1177/17085381231197931. Epub 2023 Aug 21.
Spontaneous isolated celiac artery dissection (SICAD) without associated aortic dissection is a rare disease. Complications are ischemia, aneurysm formation, and rupture. Different treatment options have been reported for managing SICAD, including conservative management, endovascular intervention, and open surgery. Despite the increased recognition of this disease, there are no consensus guidelines on management of this condition. To improve the knowledge and treatment of this disease, a case of SICAD was reported.
We describe the case of a 57-year-old woman with SICAD whose symptoms improved after endovascular treatment when conservative treatment failed and systematically analyze the management strategy for patients with SICAD.
SICAD is a rare disease and has no universally agreed upon guidelines for treatment. Most patients can be first treated conservatively for dissection with strict blood pressure control, antithrombotic therapy, and intensive surveillance. For SICAD patients with aneurysms located in the celiac trunk, stent grafts can be used in such patients without affecting the branch blood supply.
自发性孤立性腹腔动脉夹层（SICAD）不伴有主动脉夹层是一种罕见的疾病。其并发症为缺血、动脉瘤形成和破裂。对于 SICAD 的治疗，已有多种治疗方案被报道，包括保守治疗、血管内介入治疗和开放手术。尽管对这种疾病的认识有所增加，但对于这种情况的管理尚无共识指南。为了提高对这种疾病的认识和治疗，报告了一例 SICAD 病例。
我们描述了一例 57 岁女性 SICAD 患者的病例，该患者在保守治疗失败后，经血管内治疗后症状改善，并系统地分析了 SICAD 患者的管理策略。
SICAD 是一种罕见疾病，目前尚无普遍认可的治疗指南。大多数患者可以先通过严格的血压控制、抗血栓治疗和强化监测进行保守治疗，以治疗夹层。对于位于腹腔干的动脉瘤患者，如果不影响分支血供，可以使用支架移植物。
