[Clinical features and therapeutic strategies of isolated superior mesenteric artery dissection: a meta-analysis of 101 cases].
OBJECTIVE
To summarize the clinical characters and therapeutic strategies of isolated superior mesenteric artery dissection, a rare disease.


METHODS
The clinical data of 101 patients of isolated superior mesenteric artery dissection, including 2 cases treated in the Peking Union Medical College Hospital and 99 cases collected from the literatures were analyzed.


RESULTS
84.16% of the patients were males. The average age of the patients was 53.95. 70% conservative treatment was successful in 70% of the patients. The symptoms were alleviated in 52 patients, of which 36 had undergone surgeries and 16 had endovascular therapy. The restenosis rate of endovascular therapy was 12.50%.


CONCLUSIONS
Surgery and endovascular therapy are more effective than conservative treatments for isolated superior mesenteric artery dissection. The therapeutic strategies depend on the clinical symptoms and imaging examinations.
Chen
Yue-Xin
YX
Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100032, China.
Liu
Chang-Wei
CW
Liu
Bao
B
D000784:Aortic Dissection / Q000601:surgery*; D000800:Angioplasty, Balloon; D005260:Female; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000601:surgery* / Q000628:therapy; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome