علاج تشريح الشريان المساريقي العلوي التلقائي المعزول في حالة عدم الاستقرار الديناميكي الدموي أو مع علامات نقص التروية المساريقية

DOI: 10.4070/kcj.2018.0429

Hemodynamically unstable patients having signs and symptoms of ischemia or those with radiological evidence of progression or worsening SMA dissection, such as formation of thrombus, narrowing or saccular aneurysm formation, should have urgent revascularization, as they are at high risk of rupture.

The two main revascularization techniques are endovascular or surgical repair.

Endovascular management includes intralesional thrombolytic therapy, stent placement, embolotherapy and balloon angioplasty.

In most cases, stents up to a diameter of 10 mm and lengths of 10 cm were used.

Endovascular technique is a minimally invasive procedure, prevents progression of dissection and provides instant relief from ischemia with shorter hospital stays.