Unique ID issued by UMIN | UMIN000023941 |
---|---|
Receipt number | R000027548 |
Scientific Title | Outcomes of Treatment Strategies for Isolated Spontaneous Superior Mesenteric Artery Dissection: A Systematic Review |
Date of disclosure of the study information | 2016/09/10 |
Last modified on | 2017/08/06 15:22:41 |
Outcomes of Treatment Strategies for Isolated Spontaneous Superior Mesenteric Artery Dissection: A Systematic Review
A Systematic Review of Isolated SMA dissection
Outcomes of Treatment Strategies for Isolated Spontaneous Superior Mesenteric Artery Dissection: A Systematic Review
A Systematic Review of Isolated SMA dissection
Japan |
Isolated spontaneous superior mesenteric artery dissection
Cardiology | Vascular surgery |
Others
NO
This study aimed to evaluate the characteristics and the treatment strategies of isolated spontaneous superior mesenteric artery dissection.
Efficacy
Not applicable
a composite of SMA dissection-related death and the use of an additional intervention (endovascular or surgery)
Others,meta-analysis etc
Not applicable |
Not applicable |
Male and Female
We searched the Cochrane Library, MEDLINE, and Clinical Trial.gov databases until December 31, 2015. We retrieved articles presenting the treatment and outcomes of isolated SMA dissection.
Articles reporting SMA dissections that were iatrogenic or traumatic, or were associated with abdominal aortic dissection were excluded. Additionally, we excluded single-patient case reports, systematic reviews, and reports on other visceral artery dissections.
500
1st name | |
Middle name | |
Last name | Takao Kato |
Kyoto University Graduate School of Medicine
Department of Cardiovascular Medicine
54 Kawaharacho, Sakyo-ku, Kyoto 606-8507, Japan
+81-75-751-3190
takao-kato@kitano-hp.or.jp
1st name | |
Middle name | |
Last name | Yuki Kimura |
Tazuke Kofukai Medical Research Institute, Kitano Hospital
Cardiovascular Center
2-4-20 Ogimachi, Kita-ku, Osaka 530-8480, Japan
+81-6-6361-0588
yuuki-kitano@kitano-hp.or.jp
Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital
Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital
Self funding
NO
2016 | Year | 09 | Month | 10 | Day |
Published
http://www.annalsofvascularsurgery.com/article/S0890-5096(17)30917-2/fulltext
OBJECTIVES:
Isolated spontaneous dissection of the superior mesenteric artery (SMA) without aortic dissection is being increasingly recognized. This study aimed to evaluate the latest clinical characteristics and optimal treatment.
METHODS:
We searched the Cochrane Library, MEDLINE, and Clinical Trial.gov databases through December 31, 2016, using the following words: "superior mesenteric artery" and "dissection." We retrieved articles presenting the treatment and outcomes of isolated SMA dissection published in English. We investigated the patient characteristics, treatments, follow-up, and prognoses. Additionally, we compared mortality rates and assessed the need for additional interventions between treatment strategies in symptomatic patients without accompanying proof of bowel ischaemia or aneurysm, which require immediate endovascular treatment or surgery.
RESULTS:
We identified 51 articles with 721 patients. The initial treatments in symptomatic patients without accompanying proof of bowel ischaemia or aneurysm were conservative treatment (82.1%), endovascular treatment (14.3%), catheter-directed infusion of medication (2.1%), and surgery (1.5%). Additional treatment was needed in 18.1% of patients receiving conservative treatment and 2.4% of patients receiving endovascular treatment (P = 0.0003). Mortality was not significantly different between each treatment strategy (P = 0.92).
CONCLUSIONS:
There was no significant difference in mortality of symptomatic SMA dissection patients without accompanying proof of bowel ischaemia or aneurysm between interventional treatment and conservative treatment. An additional treatment is needed in a minority of patients receiving conservative treatment, however, more frequently than in those receiving endovascular treatment.
Completed
2016 | Year | 04 | Month | 01 | Day |
2016 | Year | 04 | Month | 01 | Day |
Systematic review and meta-analysis of isolated spontaneous dissection of the superior mesenteric artery.
2016 | Year | 09 | Month | 05 | Day |
2017 | Year | 08 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027548