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


: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.


Semin Vasc Surg


Hodgkiss-Harlow K




Has Abstract


2013-06-01 00:00:00














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    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


    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


    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


    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

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    authors: Mewissen MW

    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


    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


    authors: Setacci C,de Donato G,Setacci F

    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


    authors: Ricci MA

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    pub_type: 杂志文章,评审


    authors: Aiello F,Morrissey NJ

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  • 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

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    authors: Chaer RA,Makaroun MS

    更新日期:2008-06-01 00:00:00

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    journal_title:Seminars in vascular surgery

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

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    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审


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

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    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审


    authors: Hingorani A,Ascher E,Marks N

    更新日期:2007-03-01 00:00:00

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    journal_title:Seminars in vascular surgery

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    authors: Cronenwett JL

    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


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    更新日期:2008-09-01 00:00:00

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

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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


    authors: Whittemore A

    更新日期:1997-06-01 00:00:00

  • Endovascular grafting for aortoiliac occlusive disease.

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    authors: Vasquez MA,Munschauer CE

    更新日期:2010-06-01 00:00:00

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    journal_title:Seminars in vascular surgery

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    journal_title:Seminars in vascular surgery

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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


    authors: Fillinger MF,Weaver JB

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    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审


    authors: Da Silva MS,Sobel M

    更新日期:2002-12-01 00:00:00

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    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审


    authors: Ebaugh JL,Garcia ND,Matsumura JS

    更新日期:2001-09-01 00:00:00

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    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审


    authors: Sakalihasan N,Hustinx R,Limet R

    更新日期:2004-06-01 00:00:00

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    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章


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

    更新日期:2001-03-01 00:00:00