Overview
Mesenteric artery dissection involves the separation of layers within the wall of the superior mesenteric artery (SMA), leading to potential ischemia of the bowel and other complications. It is a rare but serious vascular emergency requiring prompt diagnosis and management.Diagnosis
Management
Special Populations
Key Recommendations
References
Showing 100 most recent of 468 indexed papers.
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Extra-cervical arterial involvement in patients with spontaneous cervical artery dissection. Journal of hypertension 2026. link 11 Mayer-Suess L, Kaufmann J, Traenka C, Felicetti S, Kaufmann S, Dejakum B et al.. Safety of Physical Activity After Cervical Artery Dissection. European journal of neurology 2026. link 12 Khan M, Keser Z, Shu L, Lee E, Ho M, Klein P et al.. Dissecting Aneurysm in Cervical Artery Dissection: Insights From the STOP-CAD Study. Stroke 2026. link 13 Mamer LE, Stephen R. Carotid and Vertebral Artery Dissections. Emergency medicine clinics of North America 2026. link 14 Boucher P. Cervical spinal manipulative therapy, arterial dissection, and the law: Informed consent and causation in Goldie C.arsenault. Journal of forensic and legal medicine 2026. link 15 Marto JP, Shu L, Wu E, Mendel DM, Heldner MR, Kaufmann JE et al.. Recurrent Cervical Artery Dissection Prevalence and Predictors: A Secondary Analysis of the STOP-CAD Study. Stroke 2026. link 16 Zhu J, Geng Y, Xu Y. Spontaneous renal artery dissection leading to multiple organ dysfunction syndrome and eventual death: A case report. Medicine 2025. link 17 Wood EC, Marcet PA, Fargen KM, Velazquez-Ramirez G. Contemporary Management and Outcomes of Carotid Artery Dissection. Annals of vascular surgery 2025. link 18 Oshima A, Higurashi M, Takase H, Asada K, Yamada S, Tateishi K et al.. The impact of initial vascular morphology on outcomes in patients with intracranial vertebral artery dissection presenting with isolated headache. Journal of neurosurgery 2025. link 19 Mayer-Suess L, Knoflach M, Peball T, Mangesius S, Steiger R, Pereverzyev S et al.. Cervical Artery Tortuosity Is Associated With Dissection Occurrence and Late Recurrence: A Nested Case-Control Study. Stroke 2025. link 20 He Y, Hu Y, Tian L, Qiu C, Li D, Xiang Y et al.. Acute Renal Infarction Due to Symptomatic Isolated Spontaneous Renal Artery Dissection: A Rare and Fatal Disease. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2025. link 21 Dou L, Zhang B, Tang H, Yang H, Liu L. Isolated superior mesenteric artery dissection with concomitant vascular aberrancy: Extremely rare cases and clinical implications. Vascular 2025. link 22 Mei J, Yan H, Zhao X, Yuan Y, Su H, Xue T et al.. In-stent Restenosis After Stenting for Superior Mesenteric Artery Dissection Is Associated With Stent Landing Zone: From Clinical Prediction to Hemodynamic Mechanisms. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2025. link 23 Xeros HK, Griffin KJ, Harmsen WS, Lanzino G, Brown RD, Keser Z. Epidemiology of traumatic cervical artery dissections. Clinical neurology and neurosurgery 2025. link 24 Nilton Nunes Mendes G, Letourneau-Guillon L, Deschaintre Y. Simultaneous multiple cervical vessel dissection manifested as pulsatile tinnitus. The neuroradiology journal 2025. link 25 Lee E, Shu L, Salehi Omran S, Goldstein ED, Henninger N, Nguyen TN et al.. Differential outcomes and treatment in non-traumatic carotid versus vertebral cervical artery dissection: A national inpatient sample study. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association 2025. link 26 Zimmermann S, Weißenfels M, Krümmer N, Michalski D, Weise G, Branzan D et al.. Long-Term Course of Circulating Elastin, Collagen Type I, and Collagen Type III in Patients with Spontaneous Cervical Artery Dissection: a Prospective Multicenter Study. Translational stroke research 2025. link 27 Avramiotis NS, Schaub F, Thilemann S, Lyrer P, Engelter ST. Antithrombotic drugs for carotid artery dissection: Updated systematic review. European stroke journal 2025. link 28 Jeon YS, Park JJ, Roh HG, Chun YI. Natural course of the acute unruptured intracranial vertebral artery dissections which show pearl-and-string sign. Neuro-Chirurgie 2025. link 29 Feng Y, Zhu Z, Shao J, Li K, Xie Y, Xie L et al.. Comparative outcomes of surgical and conservative management in carotid artery dissection. Vascular 2025. link 30 Wang L, Xu M, Chen Z, Jiang G. Conservative versus stent treatment for spontaneous isolated superior mesenteric artery dissection after the failure of initial 3 days' conservative treatment: A 10-year follow-up study. Vascular 2025. link 31 Brunner E, Kaufmann JE, Fischer S, Gensicke H, Zietz A, Polymeris AA et al.. Atherosclerosis in patients with cervical artery dissection. European stroke journal 2025. link 32 McGuire LS, Kumar P, Ryoo JS, Alaraj A. Selective endovascular treatment of cervical arterial dissection using quantitative magnetic resonance angiography. Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences 2024. link 33 Yuan Z, Hu G, Sheng S, You Y, Wang J. Management Strategy and Radiologic Outcomes of Symptomatic Spontaneous Isolated Superior Mesenteric Artery Dissection Based on Angiographic Classification: The Follow-Up Experience in a Single Center. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2024. link 34 Suh D, Ma Y, Newton DH, Amendola MF, Lavingia KS. Carotid artery dissections from transcarotid artery revascularization as reported by the Food and Drug Administration. Vascular 2024. link 35 Zhu F, Zhang L, Shang D. The management of spontaneous isolated celiac artery dissection: A case report and literature review. Vascular 2024. link 36 Wang LZ, Oehmichen B, Pariente B, Mohamedi N, Cheng C, Detriche G et al.. Fluoroquinolone Use Preceding Visceral Artery Dissection: A Case Series. Angiology 2024. link 37 Peng Z, Pang C, Li XJ, Zhang HS, Lu Y, Zhuang Z et al.. Intimal Injury Potentially Plays a Key Role in the Formation of Carotid Artery Dissection: A Novel Animal Model Establishing. Cerebrovascular diseases (Basel, Switzerland) 2024. link 38 Thomas LC, Holliday E, Attia JR, Levi C. Development of a diagnostic support tool for predicting cervical arterial dissection in primary care. The Journal of manual & manipulative therapy 2024. link 39 Essibayi MA, Lanzino G, Keser Z. Endovascular treatments of intracranial vertebral and internal carotid arteries dissections: An interactive systematic review and meta-analysis. Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences 2024. link 40 El Kashef O, Noureldin M. Endovascular Management of Combined Symptomatic Spontaneous Isolated Renal and Celiac Arterial Dissection: A Case Report. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2024. link 41 Long B, Pelletier J, Koyfman A, Bridwell RE. High risk and low prevalence diseases: Spontaneous cervical artery dissection. The American journal of emergency medicine 2024. link 42 Lounsbury E, Niznick N, Mallick R, Dewar B, Davis A, Fergusson DA et al.. Recurrence of cervical artery dissection: A systematic review and meta-analysis. International journal of stroke : official journal of the International Stroke Society 2024. link 43 Ye M, Zhou Q, Wu J, Zhang Z, Li B, Zheng T et al.. Conservative Versus Endovascular Treatment for Spontaneous Isolated Superior Mesenteric Artery Dissection: A Clinical and Imaging Follow-up Study. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2024. link 44 Lin X, Guo W, She D, Kang Y, Xing Z, Cao D. Initial and follow-up high-resolution vessel wall MRI study of spontaneous cervicocranial artery dissection. European radiology 2024. link 45 Shang T, Zhou HJ, Wang YS, Qiu C, Chen TC, Sun J et al.. Mid-term Results of the Treatment of Isolated Dissection of the Celiac Artery: A Comparative Analysis of Endovascular Versus Conservative Therapy. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2024. link 46 Liu D, Shu C, Li M, Li X, Yang C, Zhang W. Long-term outcome of spontaneous isolated superior mesenteric artery dissection in different angiographic types. Vascular 2023. link 47 Shrestha S, Gu H, Xie W, He B, Zhao W, Tang Z et al.. Assessment of association between the carotid web and dissection in spontaneous internal carotid artery dissection patients using vessel wall MRI. Acta radiologica (Stockholm, Sweden : 1987) 2023. link 48 Ben Abdallah I, Craiem D, Casciaro M, Deza D, Ronot M, Corcos O et al.. Case-Control Study of 3D Morphology in Isolated Mesenteric Artery Dissection. Cardiovascular engineering and technology 2023. link 49 Thomas LC, Seth T, Der A, Ho K, Eide L, Roenaas S et al.. Improving the recognition of cervical arterial dissection in clinical practice: investigation of a five criteria diagnostic support tool. Physiotherapy theory and practice 2023. link 50 Karaman AK, Korkmazer B, Arslan S, Kızılkılıç O, Koçer N, Islak C. Spontaneous internal carotid artery dissection in a child diagnosed by high resolution vessel wall MRI. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery 2023. link 51 Ben Abdallah I, Craiem D, Casciaro M, Deza D, Garzelli L, Nuzzo A et al.. Volumetric Analysis of Progressive Remodeling of Isolated Mesenteric Artery Dissection Treated by Conservative Therapy. Journal of vascular and interventional radiology : JVIR 2023. link 52 Sato M, Mizoguchi T, Imamura Y, Yamada Y, Muraya Y, Hashimoto G et al.. Usefulness of Ultrasonography in the Diagnosis and Follow-up of Extracranial Vertebral Artery Dissection. Internal medicine (Tokyo, Japan) 2023. link 53 Wadhwa A, Almekhlafi M, Menon BK, Demchuk AM, Bal S. Recanalization and Functional Outcome in Patients with Cervico-cephalic Arterial Dissections. The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques 2023. link 54 Abdelnour LH, Kurdy M, Idris A. Systematic review of postpartum and pregnancy-related cervical artery dissection. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians 2022. link 55 Mooney N, White LM, Chandran A, Bonello M. Vertebral artery dissection managed by interventional radiology. BMJ case reports 2022. link 56 Diana F, Raz E, Biraschi F, Romano DG, Toccaceli G, Shapiro M et al.. Cone-beam CT angiography to assess the microvascular anatomy of intracranial arterial dissections. The neuroradiology journal 2022. link 57 Tang M, Gao J, Gao J, Yan X, Zhang X, Li L et al.. Evaluating intracranial artery dissection by using three-dimensional simultaneous non-contrast angiography and intra-plaque hemorrhage high-resolution magnetic resonance imaging: a retrospective study. Acta radiologica (Stockholm, Sweden : 1987) 2022. link 58 Venturini G, Vuolo L, Pracucci G, Picchioni A, Failli Y, Benvenuti F et al.. Association between carotid artery dissection and vascular tortuosity: a case-control study. Neuroradiology 2022. link 59 Durongwatana N, Sriamornrattanakul K, Wongsuriyanan S, Akharathammachote N. Microsurgical Treatment of Vertebral Artery Dissection: Surgical Strategies and Treatment Outcomes. World neurosurgery 2022. link 60 Choi HH, Cho YD, Yoo DH, Kang HS, Han MH. LVIS-within-enterprise double-stent procedure without coiling beneficial as treatment of unruptured vertebral artery dissecting aneurysms. Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences 2022. link 61 Fukuda K, Kawano D, Horio Y, Fukumoto H, Takahara M, Miki K et al.. Target Embolization of Complex Vertebral Artery Dissecting Aneurysm with Endovascular Reconstructive Technique Using Cone-Beam Computed Tomography Angiography: Technical Note. World neurosurgery 2022. link 62 Almohammad M, Dadak M, Götz F, Donnerstag F, Tryc AB, Mahmoudi N et al.. The potential role of diffusion weighted imaging in the diagnosis of early carotid and vertebral artery dissection. Neuroradiology 2022. link 63 Braga BP, Sillero R, Pereira RM, Urgun K, Swift DM, Rollins NK et al.. Dynamic compression in vertebral artery dissection in children: apropos of a new protocol. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery 2021. link 64 Tanoue S, Endo H, Hiramatsu M, Matsumaru Y, Matsumoto Y, Sato K et al.. Delineability and anatomical variations of perforating arteries from normal vertebral artery on 3D DSA: implications for endovascular treatment of dissecting aneurysms. Neuroradiology 2021. link 65 Xu Y, Li X, Shang D, Liu J, Jin B, Chen W et al.. Mid-term outcomes of symptomatic isolated superior mesenteric artery dissection with endovascular management. Vascular 2021. link 66 Moran J, Galla N, Ranade M. Endovascular Stenting in a Rare Case of Multiple Spontaneous Visceral Arterial Dissections. Vascular and endovascular surgery 2021. link 67 Jung S, Yoon C. A Rare Case of Oculomotor Nerve Palsy after Endovascular Treatment in a Patient with Internal Carotid Artery Dissection. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association 2021. link 68 Kacprzynski G, Bucher J. Delayed vertebral artery dissection after mild trauma in a motor vehicle collision. The American journal of emergency medicine 2021. link 69 Bond KM, Krings T, Lanzino G, Brinjikji W. Intracranial dissections: A pictorial review of pathophysiology, imaging features, and natural history. Journal of neuroradiology = Journal de neuroradiologie 2021. link 70 Gao P, Li G, Chen J, Qiu R, Qiao C, Luo K et al.. The impact of endovascular treatment on clinical outcomes of stable symptomatic patients with spontaneous superior mesenteric artery dissection. Journal of vascular surgery 2021. link 71 Texakalidis P, Karasavvidis T, Giannopoulos S, Tzoumas A, Charisis N, Jabbour P et al.. Endovascular reconstruction of extracranial traumatic internal carotid artery dissections: a systematic review. Neurosurgical review 2020. link 72 Petetta C, Santovito D, Tattoli L, Melloni N, Bertoni M, Di Vella G. Forensic and Clinical Issues in a Case of Motorcycle Blunt Trauma and Bilateral Carotid Artery Dissection. Annals of vascular surgery 2020. link 73 Kang SH, Park HS, Yoon CJ, Shin CS, Yoo KC, Lee T. Mid- to Long-Term Outcomes in Management of Spontaneous Isolated Coeliac Artery Dissection (SICAD). European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery 2020. link 74 Montalvan V, Ulrich A, Wahlster S, Galindo D. Arterial dissection as a cause of intracranial stenosis: A narrative review. Clinical neurology and neurosurgery 2020. link 75 Jang JH, Cho BS, Ahn HY, Lee S, Kim H, Kim CN. Optimal Treatment Strategy and Natural History of Isolated Superior Mesenteric Artery Dissection Based on Long-Term Follow-up CT Findings. 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The value of CT findings for prognostic prediction of spontaneous superior mesenteric artery dissection. Acta radiologica (Stockholm, Sweden : 1987) 2019. link 81 Seese L, Kilic A, Navid F, Gleason TG, Sultan I. Nonoperative Management of Brachiocephalic Artery Dissection. The Annals of thoracic surgery 2019. link 82 Jia Z, Su H, Chen W, Ni G, Qi C, Gu J. Endovascular Treatment of Patients with Isolated Mesenteric Artery Dissection Aneurysm: Bare Stents Alone Versus Stent Assisted Coiling. European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery 2019. link 83 Gallerini S, Marsili L, Bartalucci M, Marotti C, Chiti A, Marconi R. Headache secondary to cervical artery dissections: practice pointers. Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology 2019. link 84 Sporns PB, Niederstadt T, Heindel W, Raschke MJ, Hartensuer R, Dittrich R et al.. Imaging of Spontaneous and Traumatic Cervical Artery Dissection : Comparison of Typical CT Angiographic Features. Clinical neuroradiology 2019. link 85 de Vries EE, Pourier VEC, van Laarhoven CJHCM, Vonken EJ, van Herwaarden JA, de Borst GJ. Comparability of semiautomatic tortuosity measurements in the carotid artery. Neuroradiology 2019. link 86 Matsumoto H, Hanayama H, Sakurai Y, Minami H, Masuda A, Tominaga S et al.. Investigation of the characteristics of headache due to unruptured intracranial vertebral artery dissection. Cephalalgia : an international journal of headache 2019. link 87 Wang Y, Cheng W, Lian Y, Zhang J, Zheng Y, Hu Y et al.. Characteristics and relative factors of headache caused by cervicocerebral artery dissection. Journal of neurology 2019. link 88 Felten J, Cogne K, Fischbach-Boulanger C, Falcoz PE, Meyer A, Olland A et al.. Atypical Right Pulmonary Artery Dissection Complicating Severe Blunt Chest Trauma. 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Contrast-enhanced transoral carotid ultrasonography for the diagnosis and follow-up of extracranial internal carotid artery dissection: A case report. Journal of clinical ultrasound : JCU 2018. link 93 Jia Z, Huang Y, Shi H, Tang L, Shi H, Qian L et al.. Comparison of CTA and DSA in the diagnosis of superior mesenteric artery dissecting aneurysm. Vascular 2018. link 94 Jung SC, Kim HS, Choi CG, Kim SJ, Kwon SU, Kang DW et al.. Spontaneous and Unruptured Chronic Intracranial Artery Dissection : High-resolution Magnetic Resonance Imaging Findings. Clinical neuroradiology 2018. link 95 Kimura Y, Kato T, Inoko M. Outcomes of Treatment Strategies for Isolated Spontaneous Dissection of the Superior Mesenteric Artery: A Systematic Review. Annals of vascular surgery 2018. link 96 Ramchand P, Mullen MT, Bress A, Hurst R, Kasner SE, Cucchiara BL et al.. Recanalization after Extracranial Dissection: Effect of Antiplatelet Compared with Anticoagulant Therapy. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association 2018. link 97 Morgan CE, Mansukhani NA, Eskandari MK, Rodriguez HE. Ten-year review of isolated spontaneous mesenteric arterial dissections. Journal of vascular surgery 2018. link 98 Mizuno A, Iguchi H, Sawada Y, Nomura H, Komiyama N, Watanabe S et al.. Real clinical management of patients with isolated superior mesenteric artery dissection in Japan. Journal of cardiology 2018. link 99 Boulon C, Maillet A, Salaun P, Skopinski S, Constans J. Upper Limb Ischemia by Subclavian Artery Dissection after Osteopathic Manipulation. Annals of vascular surgery 2018. link 100 Amorim JM, Pereira D, Rodrigues MG, Beato-Coelho J, Lopes M, Cunha A et al.. Anatomical characteristics of the styloid process in internal carotid artery dissection: Case-control study. International journal of stroke : official journal of the International Stroke Society 2018. link