The management of spontaneous isolated celiac artery dissection: A case report and literature review.

IF 1 4区医学 Q4 PERIPHERAL VASCULAR DISEASE

Vascular Pub Date : 2024-12-01 Epub Date: 2023-08-21 DOI:10.1177/17085381231197931

Feng Zhu, Liqiang Zhang, Dan Shang

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引用次数: 0

Abstract

Objectives: 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.

Methods and results: 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.

Conclusions: 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.

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自发性孤立腹腔动脉夹层的处理：病例报告和文献综述。

目的：不伴有主动脉夹层的自发性孤立腹腔动脉夹层（SICAD）是一种罕见疾病。并发症包括缺血、动脉瘤形成和破裂。据报道，治疗 SICAD 的方法多种多样，包括保守治疗、血管内介入治疗和开放手术。尽管人们对这种疾病的认识有所提高，但目前还没有关于这种疾病治疗的共识指南。为了提高对这种疾病的认识和治疗，我们报告了一例 SICAD 病例：我们描述了一名 57 岁女性 SICAD 患者的病例，该患者在保守治疗无效的情况下，经过血管内治疗后症状得到改善，我们还系统分析了 SICAD 患者的治疗策略：结论：SICAD 是一种罕见疾病，目前还没有公认的治疗指南。结论：SICAD 是一种罕见疾病，目前尚无公认的治疗指南。大多数患者可首先接受保守治疗，如严格控制血压、抗血栓治疗和加强监测。对于动脉瘤位于腹腔干的 SICAD 患者，可以在不影响分支供血的情况下使用支架移植物。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vascular 医学-外周血管病

CiteScore

2.30

自引率

9.10%

发文量

196

审稿时长

6-12 weeks

期刊介绍： Vascular provides readers with new and unusual up-to-date articles and case reports focusing on vascular and endovascular topics. It is a highly international forum for the discussion and debate of all aspects of this distinct surgical specialty. It also features opinion pieces, literature reviews and controversial issues presented from various points of view.