Claudiomar Zardo de Oliveira MD , Júlia Scussiato de Oliveira , Claudia C. Lovatel MD
{"title":"Endovascular treatment of spontaneous isolated celiac axis artery dissection (SICAD) treated with MicroNet-covered stent","authors":"Claudiomar Zardo de Oliveira MD , Júlia Scussiato de Oliveira , Claudia C. Lovatel MD","doi":"10.1016/j.jvscit.2025.102020","DOIUrl":null,"url":null,"abstract":"<div><div>This case involves a 48-year-old man who presented with persistent epigastric pain unresponsive to standard therapies. Diagnostic evaluation identified a spontaneous isolated dissection of the celiac axis artery, a rare vascular condition. In the absence of additional pathologies, endovascular management with a self-expanding MicroNet-covered stent was selected for treatment due to its potential to preserve collateral branches and prevent distal embolization. This is the first case of its kind reported in the literature. The procedure successfully resolved the dissection and resulted in significant symptom improvement. At 1-year follow-up, the patient remained asymptomatic.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102020"},"PeriodicalIF":0.7000,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Vascular Surgery Cases Innovations and Techniques","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468428725003028","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/16 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
This case involves a 48-year-old man who presented with persistent epigastric pain unresponsive to standard therapies. Diagnostic evaluation identified a spontaneous isolated dissection of the celiac axis artery, a rare vascular condition. In the absence of additional pathologies, endovascular management with a self-expanding MicroNet-covered stent was selected for treatment due to its potential to preserve collateral branches and prevent distal embolization. This is the first case of its kind reported in the literature. The procedure successfully resolved the dissection and resulted in significant symptom improvement. At 1-year follow-up, the patient remained asymptomatic.
期刊介绍:
Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.