Interpretation of visceral duplex scanning: before and after intervention for chronic mesenteric ischemia.

Abstract:

:Duplex ultrasound testing has evolved to be a clinically useful modality for the evaluation of chronic mesenteric ischemia (CMI) due to visceral artery origin atherosclerosis. Patients with known or suspected CMI can be scanned to identify stenosis or occlusion of the celiac, superior mesenteric, and inferior mesenteric arteries. Testing requires expertise in abdominal ultrasound imaging and arterial duplex scan interpretation, as well as a fundamental understanding of visceral artery hemodynamics and collateral pathways created as a result of occlusive lesions. Duplex testing can also be utilized to evaluate functional patency after visceral artery bypass grafting procedures or endovascular stent angioplasty, Repair site stenosis can be reliably identified, which assists in decision making regarding the need for re-intervention to treat or prevent recurrent gut ischemia. Visceral duplex testing of a bypass graft or stent angioplasty site that shows peak systolic velocity >300 cm/s with end-diastolic velocities >50-70 cm/s, or a damped velocity spectra within a bypass graft and low (<40 cm/s) peak systolic velocity should be considered for interrogation by visceral angiography to confirm or exclude severe (>70%) stenosis. Visceral duplex testing should be considered a screening diagnostic modality that complements clinical assessment of CMI both before and after open surgical or endovascular visceral artery interventions.

journal_name

Semin Vasc Surg

authors

Hodgkiss-Harlow K

doi

10.1053/j.semvascsurg.2013.11.005

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

127-32

issue

2-3

eissn

0895-7967

issn

1558-4518

pii

S0895-7967(13)00027-6

journal_volume

26

pub_type

杂志文章,评审
  • Technical discussion of diagnostic angiography and intervention of atherosclerotic renal artery stenosis.

    abstract::Renal artery stenting remains an important adjuvant treatment for true-resistant hypertension, although recent disappointing randomized trials highlight the importance of careful patient selection. Safe and successful renal interventions begin with critical core knowledge regarding renal artery anatomy and understandi...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2014.06.002

    authors: Campbell JE,Stone PA,Bates MC

    更新日期:2013-12-01 00:00:00

  • Carotid artery disease in women.

    abstract::Our understanding of cerebrovascular disease in women is hampered by a paucity of studies that include adequate numbers of female patients. Most studies are heavily biased toward men. Although women have fewer strokes than men and have a better long-term prognosis after strokes or TIAs, cerebrovascular disease still a...

    journal_title:Seminars in vascular surgery

    pub_type: 临床试验,杂志文章,随机对照试验,评审

    doi:

    authors: Hurlbert SN,Krupski WC

    更新日期:1995-12-01 00:00:00

  • How to interpret data from the superficial femoral artery stenting trials and registries.

    abstract::Recent advances in endovascular technologies have made catheter-based interventions a preferred treatment strategy in patients with intermittent claudication or ischemic rest pain of the lower extremity. Although the current body of literature is inundated with clinical reports favoring countless endovascular devices ...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2010.05.001

    authors: Lin PH,Weakley SM,Kougias P

    更新日期:2010-09-01 00:00:00

  • Thrombolysis for lower-extremity deep vein thrombosis.

    abstract::Elimination of the embolic potential of existing thrombus, restoration of unobstructed flow, prevention of further thrombosis, and preservation of venous valve function are the ideal goals of therapy for acute deep vein thrombosis (DVT). Meeting these goals will not only prevent pulmonary embolus, but will also minimi...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章

    doi:10.1053/j.semvascsurg.2010.10.002

    authors: Mewissen MW

    更新日期:2010-12-01 00:00:00

  • Ambulation and compression after deep vein thrombosis: dispelling myths.

    abstract::The traditional dogma of putting mobile patients with acute deep vein thrombosis into bed for several days has been challenged by some studies that showed a better clinical outcome with walking exercises under good compression. Repeated lung scans did not show an increased risk of new pulmonary embolism. There was a f...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2005.05.006

    authors: Partsch H

    更新日期:2005-09-01 00:00:00

  • Endografts for the treatment of aortic infection.

    abstract::Aortic infection is an uncommon but life-threatening condition. Conservative medical treatment is insufficient in many cases because of the high risk of persistent infection, aortic rupture, and death. Conventional open surgical treatment consists of extensive tissue debridement, complete removal of the infected prost...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2011.10.009

    authors: Setacci C,de Donato G,Setacci F

    更新日期:2011-12-01 00:00:00

  • The changing role of duplex scan in the management of carotid bifurcation disease and endarterectomy.

    abstract::The development of carotid duplex scanning revolutionized the diagnosis of carotid artery disease. Continued advances in the technology as well as widespread experience with cartoid ultrasound have redefined the role this technology plays in the care of patients with carotid atherosclerosis. Recent clinical trials hav...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Ricci MA

    更新日期:1998-03-01 00:00:00

  • Open and endovascular management of subclavian and innominate arterial pathology.

    abstract::Innominate and subclavian artery lesions run a wide spectrum of disease manifestation and treatment options. Since the first surgical treatment, multiple variances have been attempted with the desire to maintain high long-term patency rates while reducing perioperative morbidity and mortality. The advent of endovascul...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2011.04.001

    authors: Aiello F,Morrissey NJ

    更新日期:2011-03-01 00:00:00

  • Evolution of carotid stenting: indications.

    abstract::While carotid angioplasty and stenting has been clearly established as a minimally invasive alternative to endarterectomy for patients with carotid occlusive disease, its indications continue to evolve, being refined as more controlled data of large studies are being accumulated. The purpose of this article is to revi...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2008.03.003

    authors: Chaer RA,Makaroun MS

    更新日期:2008-06-01 00:00:00

  • Aortic reconstruction in infected aortic pathology by femoral vein "neo-aorta".

    abstract::The use of autologous femoral veins for in situ reconstruction of the aortoiliac segment is an effective technique to treat native aorta or prosthetic graft infections. The indications, technical details, and outcomes of this procedure are detailed. Graft infection involving the aortic segment, while rare, remains one...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2019.07.002

    authors: Savlania A,Tripathi RK

    更新日期:2019-01-01 00:00:00

  • The effect of aortic dissection on outcome in descending thoracic and thoracoabdominal aortic aneurysm repair.

    abstract::It is estimated that 20% to 40% of the patients who survive the acute phase of aortic dissection will develop significant aneurysmal dilatation of the descending thoracic or thoracoabdominal aorta. Aortic dissection has long been considered a risk factor for mortality and neurologic deficit following surgical repair o...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/svas.2002.33088

    authors: Huynh TT,Porat EE,Miller CC 3rd,Estrera AL,Smith JJ,Safi HJ

    更新日期:2002-06-01 00:00:00

  • Preprocedural imaging: new options to reduce need for contrast angiography.

    abstract::In vascular surgery, the gold standard for evaluation of the lower-extremity arterial tree has long been contrast arteriography (CA). Associated risks of CA are well-documented and include severe allergic reactions, arterial injury and/or hemorrhage, and contrast-induced nephropathy. Increasingly, less-invasive techni...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2007.02.005

    authors: Hingorani A,Ascher E,Marks N

    更新日期:2007-03-01 00:00:00

  • Vascular surgery training: is there enough case material?

    abstract::In recent years, vascular surgery fellowships have changed substantially to meet the requirements for interventional as well as open surgical training. Data from the Residency Review Committee for Surgery indicate that the average vascular fellow performed fewer than 15 interventional procedures in 2000, but that this...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2006.08.005

    authors: Cronenwett JL

    更新日期:2006-12-01 00:00:00

  • Risk factors for failure of lower-extremity revascularization procedures: are they different for bypass and percutaneous procedures?

    abstract::Restenosis following lower-extremity revascularization remains a significant and costly public health burden. Technical advances in endovascular therapy afford us the choice of treating longer and more distal lesions, which were heretofore reserved for vein bypass surgery. While contemporary vascular surgeons are well...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2008.05.007

    authors: Owens CD,Ho KJ,Conte MS

    更新日期:2008-09-01 00:00:00

  • Management of central vein stenoses and occlusions: the critical importance of the costoclavicular junction.

    abstract::The failure of an autogenous or prosthetic arteriovenous hemodialysis access is usually related to the failure of the venous outflow resulting from a stenosis somewhere in the venous system, commonly at the venous anastomosis for a prosthetic access or within the central veins. The National Kidney Foundation's Kidney ...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2011.05.008

    authors: Illig KA

    更新日期:2011-06-01 00:00:00

  • A new paradigm: the vascular center.

    abstract::The vascular surgeon, in the absence of effective medical options for the treatment of atherosclerosis, has in the past assumed primary responsibility for the care of patients with peripheral vascular disorders. During the past two decades, management of these patients has become increasingly complex, the direct resul...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章

    doi:

    authors: Whittemore A

    更新日期:1997-06-01 00:00:00

  • Endovascular grafting for aortoiliac occlusive disease.

    abstract::Aortoiliac occlusive disease is a significant cause of lower extremity ischemic symptoms. Over the past two decades, most patients have been treated with a variety of surgical procedures, including aortofemoral and extra-anatomic bypasses. Most recently, percutaneous balloon angioplasty and stents have been successful...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Sanchez LA,Wain RA,Veith FJ,Cynamon J,Lyon RT,Ohki T

    更新日期:1997-12-01 00:00:00

  • Inflammatory aneurysms treated with EVAR.

    abstract::Inflammatory abdominal aortic aneurysms (IAAA) are being treated more frequently by endovascular aneurysm repair (EVAR). Some authors caution against treating IAAA by EVAR because retroperitoneal inflammation may not subside post-operatively. A recent experience of 69 IAAA treated by open and endovascular methods is p...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2012.09.008

    authors: Stone WM,Fankhauser GT

    更新日期:2012-12-01 00:00:00

  • Reoperative approaches for failed infrainguinal vein grafts.

    abstract::The management of patients with thrombosed vein grafts remains a formidable challenge for all vascular surgeons. Management strategies will vary based on a variety of criteria including the patients' overall condition and symptoms, the interval and etiology of graft failure, and the pathological anatomy and availabili...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Belkin M,Whittemore AD

    更新日期:1994-09-01 00:00:00

  • Strategies for management of ischemic steal syndrome.

    abstract::Constructing vascular access for hemodialysis causes changes in blood flow to the extremity, which can lead to distal ischemia. Ischemic steal syndrome is manifested by pain; weakness; pallor; and, in severe cases, ulceration and tissue loss. Severe ischemia, requiring reintervention, has an incidence of 4%, although ...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2007.07.009

    authors: Suding PN,Wilson SE

    更新日期:2007-09-01 00:00:00

  • The importance of uniform venous terminology in reports on varicose veins.

    abstract::There is a need for a standardized consistent language in vascular surgery that allows easy flow of information and comparison of results among clinicians. Beginning with current nomenclature, a common language serves as a framework for more detailed efforts. Understanding the outcomes assessment tools available provi...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章

    doi:10.1053/j.semvascsurg.2010.01.002

    authors: Vasquez MA,Munschauer CE

    更新日期:2010-06-01 00:00:00

  • Smoking cessation strategies in vascular surgery.

    abstract::Tobacco abuse is a highly prevalent modifiable risk factor in vascular surgery patient populations. Despite the known benefits of smoking cessation, quitting smoking is difficult for most patients. Physician advice to stop smoking can help, though more intensive or multifactorial interventions have greater impact. Smo...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2015.10.001

    authors: Spangler EL,Goodney PP

    更新日期:2015-06-01 00:00:00

  • Cervicothoracic vascular injuries.

    abstract::Arterial and venous trauma of the cervicothoracic region continues to present challenging problems for the surgeon, despite advances in vascular diagnostics and surgical technique. Whether due to penetrating or blunt mechanisms, overall incidence of these injuries is low, whereas morbidity and mortality remain high. D...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:

    authors: McIntyre WB,Ballard JL

    更新日期:1998-12-01 00:00:00

  • Who should we operate on and how do we decide: predicting rupture and survival in patients with aortic aneurysm.

    abstract::The decision to operate on a patient with an aortic aneurysm is based on the risk of aneurysm rupture versus the risk of aneurysm repair, within the context of the patient's overall life expectancy. Risk of rupture is still primarily based on the maximum aneurysm diameter, with some allowances made for factors that mo...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2007.04.001

    authors: Fillinger M

    更新日期:2007-06-01 00:00:00

  • Aortobifemoral bypass, the gold standard: technical considerations.

    abstract::The controversies that surround the technical aspects of transabdominal reconstruction for aortoiliac occlusive disease, and more specifically ABF, have provided lively debates during the golden era of vascular surgery. It seems almost a pity that, with the resolution of many of these issues, what has become one of th...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Rutherford RB

    更新日期:1994-03-01 00:00:00

  • Imaging equipment and techniques for optimal intraoperative imaging during endovascular interventions.

    abstract::Because endovascular procedures represent an ever-increasing portion of many vascular surgery practices, many surgeons are faced with difficult choices. Endovascular procedures often require open surgery, and open surgical techniques increasingly require fluoroscopic imaging. Without good intraoperative imaging, endov...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Fillinger MF,Weaver JB

    更新日期:1999-12-01 00:00:00

  • Anticoagulants: to bleed or not to bleed, that is the question.

    abstract::Thromboembolic vascular diseases remain the main cause of death in Western industrialized societies. Anticoagulants retard the formation, growth, and embolization of thrombi and are effective agents in the prevention and treatment of thromboembolic disease. Anticoagulants in venous thromboembolism have been investigat...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/svas.2002.36261

    authors: Da Silva MS,Sobel M

    更新日期:2002-12-01 00:00:00

  • Screening and surveillance for abdominal aortic aneurysms: who needs it and when.

    abstract::Early detection of abdominal aortic aneurysms potentially can save many lives by preventing aneurysm rupture. Screening programs, however, have yet to be proven as an efficient means of accomplishing this goal and improving overall life expectancy. Until more information is available, selective high-risk screening may...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/svas.2001.25491

    authors: Ebaugh JL,Garcia ND,Matsumura JS

    更新日期:2001-09-01 00:00:00

  • Contribution of PET scanning to the evaluation of abdominal aortic aneurysm.

    abstract::The size of abdominal aortic aneurysms (AAA) is the most usual predictor of the risk for rupture. Because chronic metalloproteinases production and activation by inflammatory cells causes degradation of elastin and collagen in the aneurysmal wall, the detection of an increased metabolic process preceding fissuration a...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2004.03.002

    authors: Sakalihasan N,Hustinx R,Limet R

    更新日期:2004-06-01 00:00:00

  • Development and utilization of paperless medical records: a unique approach.

    abstract::The purpose of this article is to describe the development and utilization of a unique paperless medical record system in a large multispeciality group practice setting. The Scott and White integrated health care delivery system provides care over a 34-county area in Central Texas. Since 1988, clinicians at Scott and ...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章

    doi:10.1053/svas.2001.21253

    authors: Burke JD Jr,Culp KS,Burke KC,Myers DL

    更新日期:2001-03-01 00:00:00