Erschienen in:
10.05.2017 | Clinical Investigation
Effectiveness of the Conservative Therapy for Symptomatic Isolated Celiac Artery Dissection
verfasst von:
Shaoqin Li, Lihua Cheng, Jianfei Tu, Yabin Jiao, Xulu Wu, Zhongling Wang, Dengke Zhang, Guomin Jiang, Zhongzhi Jia
Erschienen in:
CardioVascular and Interventional Radiology
|
Ausgabe 7/2017
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Abstract
Objective
To investigate the effectiveness of the conservative therapy for symptomatic isolated celiac artery dissection (ICAD).
Methods
Patients with symptomatic ICAD diagnosed on CT between February 2006 and June 2016 at three institutions were included.
Results
During the study period, a total of 24 patients (22 men, 2 women) were included in this retrospective study. Patients most commonly presented with epigastric pain (n = 21) or back pain (n = 3). Initial CT findings included celiac arterial calcification (n = 3); compression of the true lumen (n = 24), including stenosis of the true lumen <50% (n = 14) or ≥50% (n = 10); completely thrombosed (n = 11) or partially thrombosed (n = 5) false lumen; no thrombosis of the false lumen but presence of dissecting aneurysm (n = 8); and dissection extending to the common hepatic (n = 1) or splenic (n = 6) artery. Twenty-three patients recovered after conservative treatment, and one patient who failed conservative treatment recovered after surgical therapy. Of the 23 patients who received conservative treatment, complete or partial remodeling of ICAD was achieved in 18 (78.3%) and 5 (21.7%) patients during 22.1 ± 13.3 months of follow-up.
Conclusions
Conservative treatment can be applied successfully in most patients with symptomatic ICAD. Most cases of symptomatic ICAD resolve spontaneously within 2 years.