【摘要】 目的探讨孤立性肠系膜上动脉夹层(ISMAD)的DSA表现以及腔内治疗的疗效。方法回顾性分析我院2005年9月~2013年12月腔内诊治的12例ISMAD患者的临床表现、影像资料、治疗方案及预后。男9例,女3例。年龄43~68岁,平均60.0岁。所有患者均经腹部增强CT明确诊断。结果 12例患者中11例共植入12枚裸支架。1例因真腔严重狭窄导丝未能进入真腔,而改行夹层切除、人工血管移植术。结论 DSA是诊断ISMAD可靠的方法;腔内裸支架植入术治疗ISMAD安全、有效。更多还原

【Abstract】 Objective To investigate the DSA images and the curative effect of endovascular treatment of isolated superior mesenteric artery dissection( ISMAD). Methods 12 patients with ISMAD admitted during September 2005 and December 2013 were diagnosed and treated with endovascular therapies. The clinical manifestations,imaging data and prognosis were analyzed retrospectively. 9 male and 3 female cases aged 43- 68 years old with an average age of( 55 + 5) were diagnosed with enhanced abdominal CT. Results Among 12 cases,11 were implanted with 12 bare metal stents,1 with resection and artificial vascular graft due to severe stenosis of the true lumen,into which the guide wire failed to enter. Conclusion DSA is a reliable method in the diagnosis of ISMAD. Interventional bare stent implantation is both effective and safe in the treatment of ISMAD.更多还原