Splanchnic Arterial Stenosis or Occlusion: Diagnosis at Doppler US

Lim, Hyo Keun; Lee, Won Jin; Kim, Seung H.; Lee, Soon J.; Choi, Sang Hyun; Park, Hong S.; Young, Solomon; Choo, Sung Wook; Choo, In Wook

doi:10.1148/radiology.211.2.r99ma27405

Cited by 50 publications

(15 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Selective catheter angiography is invasive and technically demanding, making it a less than ideal test for MALS. Lim et al 13 proposed Doppler ultrasonography as a reliable screening method to detect stenosis of the celiac artery by measuring end-inspiration and end-expiration velocities.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Median Arcuate Ligament Syndrome: Surgical Outcomes and Quality of Life

Joyce

Antiel

Oderich³

et al. 2014

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

Our preliminary results demonstrate that laparoscopic median arcuate ligament release for MALS in the pediatric population is safe and effective and improves overall quality of life for the patients and their parents. In carefully selected patients, laparoscopic release for MALS without additional celiac artery reconstruction normalizes blood flow in the celiac artery and improves physical and psychosocial quality of life for the child and his or her parents.

show abstract

Section: Discussionmentioning

confidence: 99%

Pediatric Median Arcuate Ligament Syndrome: Surgical Outcomes and Quality of Life

Joyce

Antiel

Oderich³

et al. 2014

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

show abstract

“…[2][3][4][5][6][7] Presently, there is no absolute consensus on specific duplex ultrasound (DUS) criteria for the diagnosis of mesenteric/celiac artery stenosis. The present study is based on the largest number of mesenteric duplex/angiography correlations reported to date for the diagnosis of SMA/CA stenosis and validates the optimal duplex velocity with the best positive predictive value (PPV) and negative predictive value (NPV) in detecting Ն50% to Ն70% stenosis of the SMA and CA.…”

mentioning

confidence: 99%

Mesenteric/celiac duplex ultrasound interpretation criteria revisited

AbuRahma

Stone

Srivastava

et al. 2012

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…With celiac artery stenosis, peak systolic velocities of the celiac artery are elevated to greater than 200 cm/s, and the celiac artery-aortic ratio is greater than 3.0 with both inspiration and expiration. 1 With median arcuate ligament syndrome, the abnormal Doppler findings as described are seen with expiration, but findings are normal with inspiration. 2 Our experience suggests that the celiac artery should be interrogated not only with full inspiration and expiration but also with the patient in the erect position.…”

Section: A Discussionmentioning

confidence: 93%

“…In the erect position, the systolic velocity within the celiac artery decreased to 168 cm/s. 1 The celiac artery caliber returned to normal in the erect position, and the flow pattern was within normal limits ( Fig. 1).…”

Section: Casementioning

confidence: 85%

Median Arcuate Ligament Syndrome

Wolfman

Bluth

Sossaman

2003

Journal of Ultrasound in Medicine

View full text Add to dashboard Cite

Objective. To describe the importance of obtaining erect views when evaluating the celiac artery with sonography. Methods. Two patients had duplex and color flow Doppler sonographic evaluations of the celiac artery, including inspiration, expiration, and erect views. Results. Both patients had elevated celiac artery velocities with inspiration and expiration. These results alone would suggest celiac artery stenosis. With erect views, the celiac artery velocities returned to normal. The addition of erect views allowed the correct diagnosis of median arcuate ligament syndrome to be made. Conclusions. When evaluating the celiac artery, it is important to include erect views to prevent misdiagnosis of celiac artery stenosis. uplex and color flow Doppler sonography have been used to identify patients who have celiac artery stenosis as well as patients with median arcuate ligament syndrome. In celiac artery stenosis, peak systolic velocities are elevated with both inspiration and expiration. In contrast to this is median arcuate ligament syndrome, in which the peak systolic velocities are elevated with expiration and return to normal with inspiration. To our knowledge, there have been no previous reports of celiac artery peak systolic velocities that remained elevated with inspiration and expiration yet returned to normal levels when the patient is placed in the erect position. We present 2 cases in which the celiac artery peak systolic velocities were elevated with both inspiration and expiration but returned to normal with the patients in the erect position. Case DescriptionsCase 1 A 28-year-old woman was referred for abdominal sonography, including mesenteric Doppler imaging, for evaluation of abdominal pain. Real-time color Doppler evaluation of the aorta and its major branches was performed by an anterior approach in both the supine and

show abstract

Splanchnic Arterial Stenosis or Occlusion: Diagnosis at Doppler US

Abstract: Owing to its high accuracy in the diagnosis of high-grade splanchnic arterial stenosis or occlusion, Doppler US can be used as a screening method to help detect CA or SMA stenosis or occlusion and can reduce the use of unnecessary, invasive angiography.

Cited by 50 publications

References 10 publications

Pediatric Median Arcuate Ligament Syndrome: Surgical Outcomes and Quality of Life

Pediatric Median Arcuate Ligament Syndrome: Surgical Outcomes and Quality of Life

Mesenteric/celiac duplex ultrasound interpretation criteria revisited

Median Arcuate Ligament Syndrome

Contact Info

Product

Resources

About