PMID- 28399982
OWN - NLM
STAT- MEDLINE
DCOM- 20170814
LR  - 20221207
IS  - 1001-9294 (Print)
IS  - 1001-9294 (Linking)
VI  - 32
IP  - 1
DP  - 2017 Apr 10
TI  - Value of Multi-detector CT in Detection of Isolated Spontaneous Superior 
      Mesenteric Artery Dissection.
PG  - 28-3
AB  - Objective To investigate the role of multi-detector computed tomography (CT) in 
      the diagnosis and classification of isolated spontaneous superior mesenteric 
      artery dissection (ISSMAD). Methods From July 2012 to December 2016, 30 
      consecutive patients with ISSMAD underwent CT scan at least two times. We 
      retrospectively summarized the clinical characteristics and CT findings of them. 
      The stenosis ratio of true lumen was compared between the patients without bowel 
      ischemia and ones with bowel ischemia. Results There were 5 cases of type I 
      ISSMAD, 14 cases of type 2, 1 case of type 3, 7 cases of type 4 and 3 cases of 
      type V. Intestinal ischemia occurred in 5 patients. The stenosis ratio of true 
      lumen in the patients without bowel ischemia was lower than that with bowel 
      ischemia (45.6% vs. 76.0%, t=-14.5, P=0.000). Five patients with intestinal 
      ischemia underwent superior mesenteric artery stenting and others received 
      conservative therapy. The abdominal pain was alleviated for all the patients 
      after treatment. Follow-up was complete in 30 cases. Follow-up CT angiography of 
      superior mesenteric artery showed dissection remodeling in 12 patients. 
      Conclusion Multi-detector CT is a valuable method in diagnosis and classification 
      of ISSMAD and monitoring the changes of dissection.
FAU - Li, Tao
AU  - Li T
AD  - Department of Radiology, General Hospital of Chinese People's Liberation Army, 
      Beijing 100853, China.
FAU - Zhao, Shaohong
AU  - Zhao S
AD  - Department of Radiology, General Hospital of Chinese People's Liberation Army, 
      Beijing 100853, China.
FAU - Li, Jinfeng
AU  - Li J
AD  - Department of Radiology, General Hospital of Chinese People's Liberation Army, 
      Beijing 100853, China.
FAU - Huang, Zili
AU  - Huang Z
AD  - Department of Radiology, General Hospital of Chinese People's Liberation Army, 
      Beijing 100853, China.
FAU - Luo, Chuncai
AU  - Luo C
AD  - Department of Radiology, General Hospital of Chinese People's Liberation Army, 
      Beijing 100853, China.
FAU - Yang, Li
AU  - Yang L
AD  - Department of Radiology, General Hospital of Chinese People's Liberation Army, 
      Beijing 100853, China.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - China
TA  - Chin Med Sci J
JT  - Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih
JID - 9112559
SB  - IM
MH  - Aged
MH  - *Aortic Dissection/classification/diagnostic imaging/surgery
MH  - Female
MH  - Humans
MH  - Intestines/blood supply
MH  - Male
MH  - Mesenteric Artery, Superior/*diagnostic imaging
MH  - Mesenteric Ischemia/classification/diagnostic imaging/surgery
MH  - Middle Aged
MH  - Tomography, X-Ray Computed/*methods
EDAT- 2017/04/13 06:00
MHDA- 2017/08/15 06:00
CRDT- 2017/04/13 06:00
PHST- 2017/04/13 06:00 [entrez]
PHST- 2017/04/13 06:00 [pubmed]
PHST- 2017/08/15 06:00 [medline]
AID - 10.24920/j1001-9242.2007.004 [doi]
PST - ppublish
SO  - Chin Med Sci J. 2017 Apr 10;32(1):28-3. doi: 10.24920/j1001-9242.2007.004.