Treatment Strategies and Outcomes of Symptomatic Spontaneous Isolated Superior Mesenteric Artery Dissection: A Systematic Review and Meta-analysis.
Yating ZhuYanghong PengMingyue XuYingqi WeiShanshan WuWei GuoZhongyin WuJiang XiongPublished in: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (2018)
Conservative treatment appeared safe and effective in >80% of symptomatic SISMAD cases, without apparent benefit for antithrombotic agent use. Initial or secondary intervention was more often endovascular, with favorable success rates and short-term outcomes. Large, prospective randomized trials with long-term follow-up are warranted on the treatment for symptomatic SISMAD.