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Classification of mesenteric dissection

Classification of mesenteric dissection
Angiographic categorization of spontaneous isolated superior mesenteric artery (SMA) dissection on cross-sectional and sagittal views of computed tomographic angiography.
(A) Type I – Patent true and false lumen revealing entry and reentry sites.
Type II – Patent true lumen but no reentry flow from the false lumen.
(B) Type IIa – Visible false lumen but no visible reentry site (blind pouch of false lumen).
(C) Type IIb – No visible false luminal flow (thrombosed false lumen), which usually causes true lumen narrowing.
(D) Type III – SMA dissection with occlusion of SMA.
Reproduced from: Yun WS, Kim YW, Park KB, et al. Clinical and angiographic follow-up of spontaneous isolated superior mesenteric artery dissection. Eur J Vasc Endovasc Surg 2009; 37:572. Illustration used with the permission of Elsevier Inc. All rights reserved.
Graphic 109983 Version 1.0

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