2023
Utility of Hook Sign in the Diagnosis of Median Arcuate Ligament Syndrome
Chan S, Weininger G, Kozhimala M, Sumpio B, Levine L, Harris S, Zheng S, Ochoa Chaar C, Guzman R, Sumpio B. Utility of Hook Sign in the Diagnosis of Median Arcuate Ligament Syndrome. Annals Of Vascular Surgery 2023, 94: 165-171. PMID: 37023920, DOI: 10.1016/j.avsg.2023.03.018.Peer-Reviewed Original ResearchConceptsMedian arcuate ligament syndromeBody mass indexCeliac artery compressionArcuate ligament syndromeCeliac arteryInstitutional review board-approved retrospective chart reviewDiagnosis of MALSElectronic medical record reviewMedian arcuate ligamentNonspecific abdominal painRetrospective chart reviewMedical record reviewTertiary academic centerSignificant predictorsHook signWilcoxon rank sum testRank sum testMALS patientsAbdominal painTomography angiography imagesArtery compressionChart reviewPatient demographicsArcuate ligamentRadiologic characteristics
2022
Prevalence and Characteristics of Patients with Median Arcuate Ligament Syndrome in a Cohort Diagnosed with Celiac Artery Compression.
Kozhimala M, Chan S, Weininger G, Sumpio B, Levine L, Harris S, Zheng S, Longo W, Ochoa Chaar C, Guzman R, Sumpio B. Prevalence and Characteristics of Patients with Median Arcuate Ligament Syndrome in a Cohort Diagnosed with Celiac Artery Compression. Journal Of The American College Of Surgeons 2022, 236: 1085-1091. PMID: 36476640, DOI: 10.1097/xcs.0000000000000500.Peer-Reviewed Original ResearchMeSH KeywordsCeliac ArteryComorbidityFemaleHumansMaleMedian Arcuate Ligament SyndromePrevalenceRetrospective StudiesConceptsMedian arcuate ligament syndromeCeliac artery compressionArcuate ligament syndromeCharacteristics of patientsMALS patientsArtery compressionArtery diseaseRenal diseaseMesenteric artery diseasePeripheral arterial diseasePeripheral artery diseaseRetrospective chart reviewCohort of patientsMedical record reviewFrequent differential diagnosisSignificant differencesAbdominal symptomsAtherosclerotic characteristicsEpigastric painGastrointestinal comorbiditiesChart reviewArterial diseaseAtherosclerotic diseaseRecord reviewClinical symptoms
2016
Explantation of infected aortic aneurysm and endograft with ascending aorta to mesenteric bypass for mesenteric ischemia
Gates L, Chin JA, Bonde PN, Chaar C, Sumpio BE, Sarac TP. Explantation of infected aortic aneurysm and endograft with ascending aorta to mesenteric bypass for mesenteric ischemia. Journal Of Vascular Surgery 2016, 65: 219-223. PMID: 27183855, DOI: 10.1016/j.jvs.2016.03.411.Peer-Reviewed Original ResearchMeSH KeywordsAgedAneurysm, InfectedAnti-Bacterial AgentsAortic Aneurysm, AbdominalAortographyBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationCeliac ArteryCoated Materials, BiocompatibleCollateral CirculationComputed Tomography AngiographyDevice RemovalEndovascular ProceduresHepatic ArteryHumansMaleMesenteric Artery, SuperiorMesenteric IschemiaMesenteric Vascular OcclusionProsthesis-Related InfectionsReoperationRifampinSplanchnic CirculationTreatment OutcomeConceptsAortic aneurysmBilateral renal arteriesSurgical revascularization techniquesSuperior mesenteric arteryAbdominal aortic aneurysmAxillobifemoral bypassGelsoft graftAbdominal painMesenteric ischemiaRevascularization techniquesThoracoabdominal aortaInferior mesentericMesenteric arteryRenal arterySurgical issuesMesenteric bypassAneurysmsAortaPrevious treatmentEndograftArteryBypassMesentericResectionIschemia
2011
The chimney procedure is an emergently available endovascular solution for visceral aortic aneurysm rupture
Schlösser FJ, Aruny JE, Freiburg CB, Mojibian HR, Sumpio BE, Muhs BE. The chimney procedure is an emergently available endovascular solution for visceral aortic aneurysm rupture. Journal Of Vascular Surgery 2011, 53: 1386-1390. PMID: 21276684, DOI: 10.1016/j.jvs.2010.11.097.Peer-Reviewed Original ResearchConceptsComputed tomography angiographyChimney procedureAortic side branchesOpen surgical repairThoracoabdominal aortic aneurysmsAortic aneurysm rupturePlacement of stentsOpen repairMesenteric arterySurgical repairEndovascular solutionGraft migrationAortic aneurysmTomography angiographyAneurysm ruptureEmergency patientsPatientsStentsType ISide branchesRepairMost institutionsEndoleakEndograftAngiography
2009
Management of Median Arcuate Ligament Syndrome: A New Paradigm
Duffy AJ, Panait L, Eisenberg D, Bell RL, Roberts KE, Sumpio B. Management of Median Arcuate Ligament Syndrome: A New Paradigm. Annals Of Vascular Surgery 2009, 23: 778-784. PMID: 19128929, DOI: 10.1016/j.avsg.2008.11.005.Peer-Reviewed Original ResearchConceptsMedian arcuate ligament syndromeArcuate ligament syndromeMAL syndromeDuplex ultrasoundCeliac artery compression syndromePoor long-term outcomesArtery compression syndromeIntraoperative duplex ultrasoundPostprandial epigastric painResolution of symptomsLong-term outcomesComplex vascular proceduresEpigastric painLaparoscopic releaseCeliac axisLaparoscopic treatmentExtrinsic compressionEndovascular therapyCompression syndromeClinical entityMAL releasePostoperative imagingVascular proceduresVascular reconstructionFlow abnormalities