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 ResearchConceptsMedian 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
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