Evidence map›Paper›PMID 41742269›Full record

ArticleJournal of cardiothoracic surgery2026

Endovascular treatment for spontaneous isolated dissection of superior mesenteric artery: a Single-centre prospective study.

Zhengyuan Fang, Bing Wang, Peier Shen, Yangyan He, Xiaohui Wang, Donglin Li, Tao Shang, Qianqian Zhu, Qinlong Zeng, Tianchi Chen and 3 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03916965 (Prospective Observational Cohort Study in Patients With SIDSMA Treated With Stents), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03916965 unknown statusnot on this map

Prospective Observational Cohort Study in Patients With SIDSMA Treated With Stents

TypeobservationalSponsorFirst Affiliated Hospital of Zhejiang UniversityRan2019 to 2023Enrolled102ConditionsDissection of the Superior Mesenteric Artery
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Zhengyuan Fang *Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Rd, Hangzhou, 310003, China.
Bing Wang *Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Rd, Hangzhou, 310003, China.
Peier ShenDepartment of Vascular Nursing, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yangyan HeDepartment of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Rd, Hangzhou, 310003, China.
Xiaohui WangDepartment of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Rd, Hangzhou, 310003, China.
Donglin LiDepartment of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Rd, Hangzhou, 310003, China.
Tao ShangDepartment of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Rd, Hangzhou, 310003, China.
Qianqian ZhuDepartment of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Rd, Hangzhou, 310003, China.
Qinlong ZengDepartment of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Rd, Hangzhou, 310003, China.
Tianchi ChenDepartment of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Rd, Hangzhou, 310003, China.
Hongkun ZhangDepartment of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Rd, Hangzhou, 310003, China.
Chenyang QiuDepartment of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Rd, Hangzhou, 310003, China. docqiu@zju.edu.cn.
Ziheng WuDepartment of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Rd, Hangzhou, 310003, China. wuziheng@zju.edu.cn.

Funding

Major Science and Technology Project in Medical and Health of Zhejiang Province WKJ-ZJ-2338
6 · The paper itself

Abstract

backgroundEndovascular stenting is a treatment option for spontaneous isolated dissection of superior mesenteric artery (SIDSMA). We aim to provide the prospective short-term data of the endovascular treatment for SIDSMA.

methodsOne hundred two patients were enrolled in the study between April 1, 2019, and March 12, 2021. The primary outcomes were primary patency and complete remodeling of SIDSMA in the first 12 months after endovascular stenting.

resultsThe participants had a mean age of 54.1 ± 7.7 years, and 95.1% were male. The most common symptom was abdominal pain. All patients underwent stent implantation, with a mean of 2.3 stents. The median follow-up duration was 38 (range 12–50) months. The primary patency rate was 100% at 1 month, 95.3% at 6 months, 92.9% at 12 months, and 92.9% at 36 months. All cases of restenosis occurred in the proximal portion of the superior mesenteric artery (SMA), with 83.3% (5/6) occurring within the initial 7 postoperative months. Two patients (2%) with severe stenosis required a second intervention. The complete remodeling rate was 56.9%, 73.6%, 75.9%, and 82.3% at 1, 6, 12, and 36 months, respectively. The symptom relief rate was 90.7% at 12 months and 94.6% at 36 months.

conclusionsEndovascular treatment for SIDSMA had satisfactory short-term primary patency and complete remodeling rates, with feasible symptom relief and a low dissection recurrence rate.

trial registrationThis prospective single-center study was approved by our center (clinical trial registration number: NCT03916965).

Indexed as

Aortic DissectionEndovascular ProceduresMesenteric Artery, SuperiorStentsAdultDissection, Blood VesselFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesTreatment OutcomeVascular PatencyComplete remodelingEndovascular treatmentPrimary patencyStentingSuperior mesenteric artery

Identifiers

PMID41742269
PMCPMC13040989

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Registered trials

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.