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- W3208291249 abstract "Abstract Objectives To determine the incidence of rare spontaneous isolated visceral artery dissection (SIVAD), characterize its pathogenesis, and suggest treatment strategies. Materials and Methods We reviewed abdominal contrast-enhanced computed-tomography (CE-CT) scans from January 2005 to December 2016 retrospectively in our institution, identified 47 SIVAD patients and classified them into a symptomatic (n = 22) or asymptomatic group (n = 25). Further, we classified the five types based on the CE-CT images. Patient characteristics, incidence, vascular risk factors, complications, symptoms, treatments outcomes, and morphology features on CE-CT images were analyzed. Results SIVAD was seen on 0.09% of all abdominal CE-CT scans, and 0.68% of all abdominal CT-CT scans obtained for the evaluation of acute abdominal symptoms. The asymptomatic group had significantly fewer patients with periarterial fat stranding or branch vessel involvement on CE-CT images (p Conclusions Symptomatic SIVAD patients should be hospitalized because some of those may experience organ ischemia or aneurysm formation. Endovascular intervention is a feasible treatment for complications of SIVAD." @default.
- W3208291249 created "2021-11-08" @default.
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- W3208291249 date "2019-04-01" @default.
- W3208291249 modified "2023-09-29" @default.
- W3208291249 title "Strategy for the Treatment of Spontaneous Isolated Visceral Artery Dissection" @default.
- W3208291249 doi "https://doi.org/10.1016/j.jvs.2019.01.029" @default.
- W3208291249 hasPublicationYear "2019" @default.
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