FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4238672264> ?p ?o ?g. }

• W4238672264 endingPage "542" @default.
• W4238672264 startingPage "542" @default.
• W4238672264 abstract "Isolated dissection of the mesenteric vessels is rare but increasingly recognized. This study aimed to evaluate patient characteristics, treatment patterns, and outcomes of mesenteric dissection using multi-institutional data. All patients at participant hospitals between January 2003 and December 2015 with dissection of the celiac artery (or its branches) or dissection of the superior mesenteric artery were included. Patients with an aortic dissection were excluded. Demographic, treatment, and follow-up data were collected. The primary outcomes included late vessel thrombosis (LVT) and aneurysmal degeneration. Twelve institutions identified 229 patients (220 with complete treatment records) with a mean age of 55 ± 12.5 years. Median time to last follow-up was 15 months (interquartile range, 3.8-32). Most patients were men (82% vs 18% women) and symptomatic at presentation (162 vs 65 asymptomatic). Isolated superior mesenteric artery dissection was more common than celiac artery dissection (n = 146 and 70, respectively). Concomitant dissection of both arteries was rare (n = 13). Primary treatment was medical in 146 patients with oral anticoagulation or antiplatelet therapy (n = 76 and 70, respectively), whereas 55 patients were observed. Six patients developed LVT and 22 patients aneurysmal degeneration (2.7% and 10%, respectively). For symptomatic patients without evidence of ischemia (n = 134), there was no difference in rate of LVT with medical therapy compared with observation alone (5 vs 0; P = .35). No asymptomatic patient (n = 64) had an episode of LVT at 5 years. Aneurysmal degeneration rates were 7.8% overall but did not differ among patients treated with medical therapy or observation alone (P = .82). Surgical or endovascular intervention was performed in 18 patients (3 ischemia, 13 pain, 1 aneurysmal degeneration, 1 asymptomatic). Excluding the patients treated for ischemia, there was no difference in LVT between patients treated by intervention and those treated medically (one vs five; P = .57). Isolated mesenteric dissection has a relatively benign course for most patients. Use of medical therapy did not improve outcomes over observation alone. Long-term follow-up is recommended because occasional patients develop aneurysmal degeneration or ischemia that may require repair." @default.
• W4238672264 created "2022-05-12" @default.
• W4238672264 creator A5008868750 @default.
• W4238672264 creator A5013182907 @default.
• W4238672264 creator A5017028156 @default.
• W4238672264 creator A5024854473 @default.
• W4238672264 creator A5026281024 @default.
• W4238672264 creator A5032826854 @default.
• W4238672264 creator A5035146749 @default.
• W4238672264 creator A5056608330 @default.
• W4238672264 creator A5060006490 @default.
• W4238672264 creator A5061104886 @default.
• W4238672264 date "2016-08-01" @default.
• W4238672264 modified "2023-09-27" @default.
• W4238672264 title "Medical Therapy and Intervention Do Not Improve Uncomplicated Isolated Mesenteric Artery Dissection Outcomes Over Observation Alone" @default.
• W4238672264 doi "https://doi.org/10.1016/j.jvs.2016.05.016" @default.
• W4238672264 hasPublicationYear "2016" @default.
• W4238672264 type Work @default.
• W4238672264 citedByCount "1" @default.
• W4238672264 countsByYear W42386722642017 @default.
• W4238672264 crossrefType "journal-article" @default.
• W4238672264 hasAuthorship W4238672264A5008868750 @default.
• W4238672264 hasAuthorship W4238672264A5013182907 @default.
• W4238672264 hasAuthorship W4238672264A5017028156 @default.
• W4238672264 hasAuthorship W4238672264A5024854473 @default.
• W4238672264 hasAuthorship W4238672264A5026281024 @default.
• W4238672264 hasAuthorship W4238672264A5032826854 @default.
• W4238672264 hasAuthorship W4238672264A5035146749 @default.
• W4238672264 hasAuthorship W4238672264A5056608330 @default.
• W4238672264 hasAuthorship W4238672264A5060006490 @default.
• W4238672264 hasAuthorship W4238672264A5061104886 @default.
• W4238672264 hasBestOaLocation W42386722641 @default.
• W4238672264 hasConcept C119060515 @default.
• W4238672264 hasConcept C141071460 @default.
• W4238672264 hasConcept C164705383 @default.
• W4238672264 hasConcept C195910791 @default.
• W4238672264 hasConcept C2775862295 @default.
• W4238672264 hasConcept C2776696333 @default.
• W4238672264 hasConcept C2776820930 @default.
• W4238672264 hasConcept C2776926547 @default.
• W4238672264 hasConcept C2777910003 @default.
• W4238672264 hasConcept C2779384505 @default.
• W4238672264 hasConcept C2780868729 @default.
• W4238672264 hasConcept C2781046184 @default.
• W4238672264 hasConcept C541997718 @default.
• W4238672264 hasConcept C71924100 @default.
• W4238672264 hasConceptScore W4238672264C119060515 @default.
• W4238672264 hasConceptScore W4238672264C141071460 @default.
• W4238672264 hasConceptScore W4238672264C164705383 @default.
• W4238672264 hasConceptScore W4238672264C195910791 @default.
• W4238672264 hasConceptScore W4238672264C2775862295 @default.
• W4238672264 hasConceptScore W4238672264C2776696333 @default.
• W4238672264 hasConceptScore W4238672264C2776820930 @default.
• W4238672264 hasConceptScore W4238672264C2776926547 @default.
• W4238672264 hasConceptScore W4238672264C2777910003 @default.
• W4238672264 hasConceptScore W4238672264C2779384505 @default.
• W4238672264 hasConceptScore W4238672264C2780868729 @default.
• W4238672264 hasConceptScore W4238672264C2781046184 @default.
• W4238672264 hasConceptScore W4238672264C541997718 @default.
• W4238672264 hasConceptScore W4238672264C71924100 @default.
• W4238672264 hasIssue "2" @default.
• W4238672264 hasLocation W42386722641 @default.
• W4238672264 hasOpenAccess W4238672264 @default.
• W4238672264 hasPrimaryLocation W42386722641 @default.
• W4238672264 hasRelatedWork W2018724160 @default.
• W4238672264 hasRelatedWork W2019857031 @default.
• W4238672264 hasRelatedWork W2032949453 @default.
• W4238672264 hasRelatedWork W2103519913 @default.
• W4238672264 hasRelatedWork W2379759513 @default.
• W4238672264 hasRelatedWork W2398223884 @default.
• W4238672264 hasRelatedWork W2403281239 @default.
• W4238672264 hasRelatedWork W2481717900 @default.
• W4238672264 hasRelatedWork W3021779352 @default.
• W4238672264 hasRelatedWork W893291190 @default.
• W4238672264 hasVolume "64" @default.
• W4238672264 isParatext "false" @default.
• W4238672264 isRetracted "false" @default.
• W4238672264 workType "article" @default.