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 Surgjournal_title
Seminars in vascular surgeryauthors
Hodgkiss-Harlow Kdoi
10.1053/j.semvascsurg.2013.11.005subject
Has Abstractpub_date
2013-06-01 00:00:00pages
127-32issue
2-3eissn
0895-7967issn
1558-4518pii
S0895-7967(13)00027-6journal_volume
26pub_type
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
doi:10.1053/j.semvascsurg.2014.06.002
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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:
更新日期:1995-12-01 00:00:00
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
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章
doi:10.1053/j.semvascsurg.2010.10.002
更新日期:2010-12-01 00:00:00
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
doi:10.1053/j.semvascsurg.2005.05.006
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
doi:10.1053/j.semvascsurg.2011.10.009
更新日期:2011-12-01 00:00:00
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
doi:
更新日期:1998-03-01 00:00:00
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
更新日期:2011-03-01 00:00:00
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
更新日期:2008-06-01 00:00:00
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journal_title:Seminars in vascular surgery
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
doi:10.1053/svas.2002.33088
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
doi:10.1053/j.semvascsurg.2007.02.005
更新日期:2007-03-01 00:00:00
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
doi:10.1053/j.semvascsurg.2006.08.005
更新日期:2006-12-01 00:00:00
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
doi:10.1053/j.semvascsurg.2008.05.007
更新日期:2008-09-01 00:00:00
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
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更新日期:2011-06-01 00:00:00
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章
doi:
更新日期:1997-06-01 00:00:00
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
doi:
更新日期:1997-12-01 00:00:00
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
doi:
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
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journal_title:Seminars in vascular surgery
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
doi:
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
doi:
更新日期:1994-03-01 00:00:00
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
doi:
更新日期:1999-12-01 00:00:00
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章,评审
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journal_title:Seminars in vascular surgery
pub_type: 杂志文章
doi:10.1053/svas.2001.21253
更新日期:2001-03-01 00:00:00