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Table 2 Summary of treatments and outcomes in symptomatic SISMAD patients

From: Long-term outcomes of conservative treatment and endovascular treatment in patients with symptomatic spontaneous isolated superior mesenteric artery dissection: a single-center experience

 

Conservative group (n = 15)

Endovascular group (n = 27)

p value

Median hospital stay (IQR), days

9 (3, 15)

9 (7, 11)

0.813

Blood pressure control, n (%)

10 (66.7)

13 (48.1)

0.337

Bowel rest, n (%)

8 (53.3)

18 (66.7)

0.511

Median fasting time (IQR), days

1 (0, 6)

1 (0, 5)

0.818

Anticoagulation therapy, n (%)

9 (60.0)

20 (74.1)

0.488

Antiplatelet therapy, n (%)

9 (60.0)

23 (85.2)

0.128

Technical success, n (%)

NA

23 (85.2)

/

Stent placement, n (%)

NA

23 (85.2)

/

Balloon angioplasty, n (%)

NA

7 (25.9)

/

Outcomes

 Symptom resolution, n (%)

14 (93.3)

26 (96.3)

1.000

aComplications, n (%)

0

1 (3.7)

1.000

 Mortality, n (%)

0

0

1.000

bFollow-up

 Median time (IQR), months

25 (8, 55)

29 (17, 48)

0.333

 Symptomatic, n (%)

6 (42.9)

1 (4.8)

< 0.001

 Intestinal necrosis, n (%)

0

0

1.000

 Underwent endovascular intervention, n (%)

4 (28.6)

NA

/

 Secondary endovascular intervention, n (%)

NA

1 (4.8)

/

 Disease unrelated mortality, n (%)

0

1 (4.8)

1.000

cComplete remodeling in the SMA, n (%)

1 (9.1)

d13 (86.7)

< 0.001

  1. IQR interquartile range, NA Not applicable
  2. aIncludes one case of pseudoaneurysm formation in the left brachial artery
  3. bThe results of 14 patients in the conservative group and 21 patients in the endovascular group (Patients who had a failed endovascular intervention were excluded)
  4. cThe results of 11 patients in the conservative group and 15 patients in the endovascular group who had follow-up computed tomography angiography
  5. dOne patients had in-stent restenosis and one patient had occlusion in the distal SMA