Endovascular Treatment with Covered Stent for Spontaneous Isolated Superior Mesenteric Artery Dissection

Abstract

Between 2008 and 2014, 3 patients with spontaneous isolated superior mesenteric artery dissection received endovascular treatment with covered stents. In all cases, the indication for intervention was bowel ischemia symptoms refractory to the conservative therapy. Symptoms have disappeared soon after the interventions in all patients, and 15 years, 9 years and 14 years have passed without stenosis or occlusion of covered stents. Endovascular treatment with covered stent may be a safe and effective option for patients with bowel ischemia caused by spontaneous isolated superior mesenteric artery dissection.