Dissection of the Superior Mesenteric Artery
Conditions
Keywords
dissection of the superior mesenteric artery, patency of stents, remodeling
Brief summary
This study aims to evaluate the prognosis in patients with spontaneous isolated dissection of the superior mesenteric artery (SIDSMA) who have been treated with stents.
Detailed description
This study is a prospective, observational study. Patients who have been diagnosed as spontaneous isolated dissection of the superior mesenteric artery (SIDSMA) and treated with stents are enrolled in the study. We will evaluate the patency of stent, remodeling of the dissection and the relief of the symptoms in the next 1 years after patients have received stents.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Male or non-pregnant female over 18 years of age 2. Diagnosed as spontaneous isolated dissection of the superior mesenteric artery 3. Patients have been successfully treated with stents 4. Patients are willing to participate in this study
Exclusion criteria
1. Life expectancy of \< 5 years; 2. Other surgeries or endovascular treatments have been taken concurrently. 3. Elevated serum level
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patency of stents deployed in the superior mesenteric artery | 12 months post-procedure | The patency of stents deployed in the superior mesenteric artery shall be evaluated via computed tomographic angiography |
| Remodeling of the superior mesenteric artery | 12 months post-procedure | Complete remodeling was defined as the absence of residual arterial dissection and stenosis via follow-up computed tomographic angiography. Incomplete remodeling was defined as improved luminal patency of the superior mesenteric artery but worse than complete remodeling. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Relief of symptoms | 12 months post-procedure | Most of patients with SIDSMA are symptomatic. The symptoms mainly include abdominal pain, hematochezia, nausea and vomiting.After the procedure, the time delay between the stent implantation and disappearance of these symptoms are documented. |
| Recurrence | 12 months post-procedure | New dissection in the superior mesenteric artery |
Countries
China