Abstract
Diagnostic catheter-based arteriography is considered the “gold standard” diagnostic study for evaluating mesenteric and visceral artery disease in patients with a variety of aneurysmal or occlusive mesenteric lesions. During the last decade, its role as confirmatory test and for planning revascularization diminished, in favor of the less invasive modalities. Since 2002, the usage of contrast arteriography to plan mesenteric reconstructions for chronic mesenteric ischemia (CMI) has decreased from 97 to 57 % at the Mayo Clinic. This change occurred due to substantial increase in use of computed tomography angiography (55–88 %) and magnetic resonance angiography (12–33 %). Mesenteric arteriography is rarely needed to confirm the diagnosis, and it typically does not add anatomical detail to plan an intervention. More frequently, angiography is obtained in conjunction with a planned endovascular intervention. Exceptions are patients with suboptimal imaging studies and those with extensive calcification, small vessels, or multiple prior stents causing metallic artifact.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Bobadilla JL. Mesenteric ischemia. Surg Clin North Am. 2013;93(4):925–40. ix.
Ryer EJ, et al. Differences in anatomy and outcomes in patients treated with open mesenteric revascularization before and after the endovascular era. J Vasc Surg. 2011;53(6):1611e2–8e2.
Anderson JL, et al. Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA guideline recommendations): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013;127(13):1425–43.
Alvarez-Tostado JA, et al. The brachial artery: a critical access for endovascular procedures. J Vasc Surg. 2009;49(2):378–85. discussion 385.
McCullough PA, Capasso P. Patient discomfort associated with the use of intra-arterial iodinated contrast media: a meta-analysis of comparative randomized controlled trials. BMC Med Imaging. 2011;11:12.
Hannawi B, Lam WW, Younis GA. Pressure wire used to measure gradient in chronic mesenteric ischemia. Tex Heart Inst J. 2012;39(5):739–43.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer Science+Business Media New York
About this chapter
Cite this chapter
Oderich, G.S., de Souza, L.R. (2015). Diagnostic Angiography. In: Oderich, G. (eds) Mesenteric Vascular Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1847-8_8
Download citation
DOI: https://doi.org/10.1007/978-1-4939-1847-8_8
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-1846-1
Online ISBN: 978-1-4939-1847-8
eBook Packages: MedicineMedicine (R0)