Evidence map›Paper›PMID 39083239›Full record

ArticleInternational journal of colorectal disease2024

The value of treatment choice and clinical prognosis for Riolan's arch in chronic superior mesenteric artery ischaemic disease.

Mengqiang Zhang, Subinuer Maimaitiaili, Run Ji, Chen Tang, Jing Cai, Zhao Liu, Tong Qiao

Abstract read
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Article in International journal of colorectal disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Mengqiang ZhangDepartment of Vascular Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, NO. 321 Zhongshan Road, Gulou District, Nanjing, Jiangsu Province, China.
Subinuer MaimaitiailiDepartment of Vascular Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, NO. 321 Zhongshan Road, Gulou District, Nanjing, Jiangsu Province, China.
Run JiNanjing Drum Tower Hospital, Clinical College of Nanjing University of Chinese Medicine, Nanjing, China.
Chen TangDepartment of Vascular Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, NO. 321 Zhongshan Road, Gulou District, Nanjing, Jiangsu Province, China.
Jing CaiDepartment of Vascular Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, NO. 321 Zhongshan Road, Gulou District, Nanjing, Jiangsu Province, China.
Zhao LiuDepartment of Vascular Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, NO. 321 Zhongshan Road, Gulou District, Nanjing, Jiangsu Province, China.
Tong QiaoDepartment of Vascular Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, NO. 321 Zhongshan Road, Gulou District, Nanjing, Jiangsu Province, China. qiaotongmail@nju.edu.cn.

Funding

National Natural Science Foundation of China 81870348Scientific research project of Jiangsu Provincial Department of Health ZD2021056
6 · The paper itself

Abstract

objectiveTo explore the value of treatment choice and clinical prognosis for Riolan's arch in chronic superior mesenteric artery (SMA) ischaemic disease in vascular surgery.

methodsThe clinical data of 215 patients with SMA ischaemic disease (41 cases with Riolan's arch and 174 cases without) admitted to the Department of Vascular Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University (China) from January 2019 to April 2023 were reviewed. Clinical characteristics, imaging findings, treatment, perioperative complications, and patient follow-up data were analysed to observe the impact of Riolan's arch on the prognosis of patients with SMA ischaemic disease.

resultsThere were significant differences in body mass index (Riolan's arch group: 22.82 ± 3.28 vs 24.03 ± 4.26 in non-Riolan's arch group, P = 0.049), Takayasu's arteritis (4.9% vs 0, respectively, P = 0.036), and secondary intervention (3.3% vs 1.9%, respectively, P < 0.001) between the two groups. Propensity score matching was used to exclude the effect of baseline data on patient outcomes. There were significant differences related to therapy method (conservative treatment, Riolan's arch group: 24.1% vs 39.7% in the non-Riolan's arch group; operative treatment, Riolan's arch group: 51.7% vs 20.7% in the non-Riolan's arch group, P = 0.014), as well as in-hospital time (9.79 ± 4.20 vs 6.86 ± 4.32, respectively, P = 0.011). There was no statistically significant difference in Kaplan-Meier curves between the two groups (log-rank test P = 0.476).

conclusionsRiolan's arch plays an important compensatory role in SMA ischaemic disease, especially in chronic disease. We found significant differences in the treatment methods and length of hospital stay of Riolan's arch, which may suggest that Riolan's arch has some reference value in the choice of treatment mode.

Indexed as

Mesenteric Artery, SuperiorAgedChronic DiseaseFemaleHumansMaleMesenteric IschemiaMiddle AgedPrognosisTreatment OutcomeCollateral circulatory vesselPrognosisRiolan’s archSuperior mesenteric artery

Identifiers

PMID39083239
PMCPMC11291590

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.