Duplex Ultrasound of the Mesenteric Vessels
Angiography has been considered the gold standard technique for the diagnosis of chronic mesenteric ischemia. Due to its invasive nature and improvements in noninvasive diagnostic studies, angiography is currently reserved for patients with classic signs and symptoms of chronic mesenteric ischemia who have planned endovascular or open reconstruction. Among patients with atypical symptoms, it is not unusual to have significant delay in diagnosis. Since the first published evaluation of the splanchnic human vasculature by duplex scanning in 1984, the technique brought up intense interest in the medical community, mainly due to its noninvasive characteristic but also because it provides hemodynamic and anatomic information. In the last decades, duplex ultrasound has proved to be an accurate method to detect stenosis and is typically the first imaging study obtained in the evaluation of patients with suspected mesenteric artery occlusive disease.
KeywordsDuplex ultrasound of mesenteric vessels Ultrasound of mesenteric vessels Mesenteric vessels and duplex ultrasound Detection of stenosis Median arcuate ligament compression syndrome
- 16.AbuRahma AF, Stone PA, Srivastava M, Dean LS, Keiffer T, Hass SM, et al. Mesenteric/celiac duplex ultrasound interpretation criteria revisited. J Vasc Surg. 2012;55(2):428 e6–36 e6. [Comparative Study]; discussion 35–6.Google Scholar
- 29.Anderson JL, Halperin JL, Albert NM, Bozkurt B, Brindis RG, Curtis LH, 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.PubMedCrossRefGoogle Scholar