-transparent.png){kind=logo}
Mesenteric artery duplex scanning appears promising for detection of splanchnic artery stenosis or occlusion or both in patients with symptoms suggestive of chronic intestinal ischemia. However, no specific duplex criteria have been developed for detection of mesenteric artery stenosis. We obtained mesenteric artery duplex scans and infradiaphragmatic lateral aortograms in 34 patients to determine duplex criteria for mesenteric stenosis. Seventy percent or greater angiographic stenosis was present in 10 superior mesenteric arteries and 16 celiac arteries. Duplex scans were reviewed to determine if celiac artery and superior mesenteric artery ratios of peak systolic velocities and end-diastolic velocities to peak aortic systolic velocity, as well as celiac artery and superior mesenteric artery peak systolic velocities and end-diastolic velocities alone, could predict a greater than or equal to 70% angiographic stenosis or occlusion or both. The results obtained by use of receiver operator curves indicated peak systolic velocity alone was an accurate predictor of splanchnic artery stenosis. Specifically, a peak systolic velocity greater than or equal to 275 cm/sec in the superior mesenteric artery and greater than or equal to 200 cm/sec in the celiac artery or no flow signal (superior mesenteric artery and celiac artery) predicted a 70% to 100% stenosis with sensitivity, specificity, and positive predictive values of 89%, 92%, and 80% for the superior mesenteric artery. Similar values for the celiac artery were 75%, 89%, and 85%, respectively. End-diastolic velocities or calculated velocity ratios conveyed no additional accuracy in predicting splanchnic artery stenosis.
G L Moneta, and
R A Yeager, and
R Dalman, and
R Antonovic, and
L D Hall, and
J M Porter
November 1992,
Journal of vascular surgery,
G L Moneta, and
R A Yeager, and
R Dalman, and
R Antonovic, and
L D Hall, and
J M Porter
January 2017,
Annals of vascular surgery,
G L Moneta, and
R A Yeager, and
R Dalman, and
R Antonovic, and
L D Hall, and
J M Porter
November 2000,
Mayo Clinic proceedings,
G L Moneta, and
R A Yeager, and
R Dalman, and
R Antonovic, and
L D Hall, and
J M Porter
May 1970,
California medicine,
G L Moneta, and
R A Yeager, and
R Dalman, and
R Antonovic, and
L D Hall, and
J M Porter
February 2017,
Acta radiologica (Stockholm, Sweden : 1987),
G L Moneta, and
R A Yeager, and
R Dalman, and
R Antonovic, and
L D Hall, and
J M Porter
May 1999,
Radiology,
G L Moneta, and
R A Yeager, and
R Dalman, and
R Antonovic, and
L D Hall, and
J M Porter
April 1997,
The Surgical clinics of North America,
G L Moneta, and
R A Yeager, and
R Dalman, and
R Antonovic, and
L D Hall, and
J M Porter
January 2015,
Journal of clinical ultrasound : JCU,
G L Moneta, and
R A Yeager, and
R Dalman, and
R Antonovic, and
L D Hall, and
J M Porter
March 2000,
Clinical neurology and neurosurgery,
G L Moneta, and
R A Yeager, and
R Dalman, and
R Antonovic, and
L D Hall, and
J M Porter
October 2022,
Journal of medical ultrasonics (2001),
