Intraoperative measurement of pressure gradient in median arcuate ligament syndrome as a rationale for radical surgical approach

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F18%3A10367535" target="_blank" >RIV/00216208:11110/18:10367535 - isvavai.cz</a>

Alternative codes found

RIV/00064165:_____/18:10367535

Result on the web

<a href="https://doi.org/10.1080/00015458.2017.1371490" target="_blank" >https://doi.org/10.1080/00015458.2017.1371490</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1080/00015458.2017.1371490" target="_blank" >10.1080/00015458.2017.1371490</a>

Result language

angličtina

Original language name

Intraoperative measurement of pressure gradient in median arcuate ligament syndrome as a rationale for radical surgical approach

Original language description

Background: Median arcuate ligament syndrome (MALS) describes clinical symptoms in patients with stenosis of the celiac artery due to external compression by the ligament. There is an ongoing debate, whether sole release of the median arcuate ligament warrants long-term relief of the symptoms. Materials and methods: Eight patients diagnosed with MALS underwent open surgical treatment beginning with the release of the ligament. Systemic pressure and pressure in the left gastric artery were measured before and after division of the median arcuate ligament and release of the celiac artery. In patients with persistent gradient above 15 mm Hg after the release a PTFE bypass was performed. Results: After the release, the pressure gradient decreased from 66 +- 19 to 48 +- 14 mm Hg (p = .001) and therefore in all patients either an aorto-celiac bypass (n = 6) or aorto-hepatic bypass (n = 2) was created. Consequently, the gradient decreased to 7 +- 2 mm Hg (p = .0001). One month postoperatively, three patients were free of symptoms and the rest reported relief of symptoms. Conclusions: Release of the celiac artery resulted in insufficient decrease of pressure gradient, which was achieved by bypassing the segment with favorable mid-term outcome. We believe that the effect of the release should always be assessed to decide on subsequent treatment.

Czech name

—

Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

<a href="/en/project/NV15-27941A" target="_blank" >NV15-27941A: The use of nonatigen fish collagen in construction of implants and as drug carriers.</a><br>

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Acta Chirurgica Belgica

ISSN

0001-5458

e-ISSN

—

Volume of the periodical

118

Issue of the periodical within the volume

1

Country of publishing house

BE - BELGIUM

Number of pages

6

Pages from-to

36-41

UT code for WoS article

000430091600006

EID of the result in the Scopus database

2-s2.0-85028894721