Practice-Based Management Data of Consecutive Subjects Assessed for the Median Arcuate Ligament Syndrome at a Single Tertiary Institution
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
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Total Patients (n = 33) | Patients without MALS (n = 25) | Patients with MALS (n = 8) | |
---|---|---|---|
Demographics | |||
Women, n (%) | 27 (82) | 21 (84) | 6 (75) |
Age (years), mean (SD) | 42.2 (18) | 44.1 (19) | 36 (12) |
Comorbidities | |||
BMI (kg/m2), median, (Q1, Q3) | 20 (Q1–Q3: 18–24) | 20 (Q1–Q3: 20–22) | 21 (Q1–Q3: 18–25) |
Psychiatric disorders, n (%) | 12 (36.4) | 9 (36) | 3 (37.5) |
Cardiovascular diseases *, n (%) | 3 (9.1) | 2 (8) | 1 (12.5) |
Clinical presentation | |||
Epigastric pain, n (%) | 29 (88) | 21 (84) | 8 (100) |
Post-prandial pain, n (%) | 17 (52) | 11 (44) | 6 (75) |
Exercise-induced pain, n (%) | 3 (9.1) | 2 (8) | 1 (12.5) |
Nausea or vomiting, n (%) | 16 (48) | 11 (48) | 5 (62.5) |
Diarrhea, n (%) | 7 (21) | 5 (20) | 2 (25) |
Weight loss, n (% | 10 (30) | 6 (24) | 4 (50) |
Duration of symptoms until visit to the vascular specialist, (months), median, (Q1, Q3) | 36 (Q1–Q3: 18 –84) | 33 (Q1–Q3: 12 –66) | 84 (Q1–Q3: 24–240) |
Supplementary investigation | |||
CT/MRI performed, n (%) | 27 (82) | 19 (76) | 8 (100) |
Gastroenterological visit, n (%) | 31 (94) | 23 (92) | 8 (100) |
Patients without MALS (n = 25) | Patients with MALS (n = 8) | |
---|---|---|
CA PSV (m/s) in expiratory apnea, median, (Q1, Q3) | 1.5 (Q1; 1.0–Q3; 1.8) | 3.05 (Q1; 2.1–Q3; 3.3) |
CA PSV (m/s) in inspiratory apnea, median, (Q1, Q3) | 1.2 (Q1; 1.0–Q3; 1.6) | 1.65 (Q1; 1.6–Q3; 2.5) |
CA EDV (m/s) in expiratory apnea, median, (Q1, Q3) | 0.35 (Q1; 0.3–Q3; 0.6) | 0.95 (Q1; 0.5–Q3; 1.4) |
CA EDV (m/s) in inspiratory apnea, median, (Q1, Q3) | 0.35 (Q1; 0.3–Q3; 0.5) | 0.85 (Q1; 0.6–Q3; 1.4) |
Difference PSV (m/s) expiratory–inspiratory, median | 0.3 | 1.4 |
CT/MRI reports a compression, n/N (%) | 2/19 (11) | 8/8 (100) |
Patients without MALS (n = 25) | Patients with MALS (n = 8) | |
---|---|---|
Somatic symptom and related disorders, n (%) | 7 (28) | 0 (0) |
Depressive disorders, n (%) | 3 (12) | 1 (13) |
Feeding and eating disorders, n (%) | 1 (4) | 1 (13) |
Anxiety disorders, n (%) | 1 (4) | 1 (13) |
Personality disorders, n (%) | 1 (4) | 0 (0) |
Obsessive compulsive disorders, n (%) | 0 (0) | 1 (13) |
Substance-related and addictive disorders, n (%) | 1 (4) | 0 (0) |
Any psychological or psychiatric disturbances, n (%) | 9 (36) | 3 (38) |
Patients (n = 7) | |
---|---|
Treatment by surgery alone, n (%) | 5 (71.4) |
Endovascular treatment alone, n (%) | 0 (0) |
Endovascular and surgical treatment, n (%) | 2 (28.6) |
Relief of symptoms after treatment, n (%) | 2 (28.6) |
Time after treatment and last follow-up visit (days), median, (Q1, Q3) | 180 (Q1; 27.5–Q3; 722.5) |
CA PSV (m/s) after treatment, median, (Q1, Q3) | 1.8 (Q1; 1.5–Q3; 2.4) |
CA EDV (m/s) after treatment, median, (Q1, Q3) | 0.6 (Q1; 0.5–Q3; 0.8) |
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Zbinden, S.; Forgo, G.; Kucher, N.; Barco, S. Practice-Based Management Data of Consecutive Subjects Assessed for the Median Arcuate Ligament Syndrome at a Single Tertiary Institution. Clin. Pract. 2024, 14, 1911-1920. https://doi.org/10.3390/clinpract14050151
Zbinden S, Forgo G, Kucher N, Barco S. Practice-Based Management Data of Consecutive Subjects Assessed for the Median Arcuate Ligament Syndrome at a Single Tertiary Institution. Clinics and Practice. 2024; 14(5):1911-1920. https://doi.org/10.3390/clinpract14050151
Chicago/Turabian StyleZbinden, Stephanie, Gabor Forgo, Nils Kucher, and Stefano Barco. 2024. "Practice-Based Management Data of Consecutive Subjects Assessed for the Median Arcuate Ligament Syndrome at a Single Tertiary Institution" Clinics and Practice 14, no. 5: 1911-1920. https://doi.org/10.3390/clinpract14050151