Standards of the Polish Ultrasound Society – update. Ultrasound examination of the visceral arteries

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Journal of Ultrasonography

Polish Ultrasound Society (Polskie Towarzystwo Ultrasonograficzne)

Subject: Medicine

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ISSN: 2084-8404
eISSN: 2451-070X

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VOLUME 15 , ISSUE 60 (March 2015) > List of articles

Standards of the Polish Ultrasound Society – update. Ultrasound examination of the visceral arteries

Michał Elwertowski * / Robert Lechowicz

Keywords : mesenteric arteries, celiac trunk, arcuate ligament syndrome,  mesenteric ischemia

Citation Information : Journal of Ultrasonography. Volume 15, Issue 60, Pages 85-95, DOI: https://doi.org/10.15557/JoU.2015.0007

License : (CC BY-NC-ND 4.0)

Received Date : 03-August-2014 / Accepted: 17-December-2014 / Published Online: 13-September-2016

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ABSTRACT

Ultrasound examination is a valuable method in diagnosing visceral vasoconstriction of atherosclerotic origin, as well as constriction related to the compression of the celiac
trunk. Given the standard stenosis recognition criteria of >70%, the increase in peak systolic velocity (PSV) over 200 cm/s in the celiac trunk; of PSV > 275 cm/s in the superior mesenteric artery, and of PSV > 250 cm/s in the inferior mesenteric artery, thelikelihood of correct diagnosis is above 90%. In the case of stenosis due to compression of the celiac trunk by median arcuate ligament of the diaphragm, a valuable addition to the regular examination procedure is to normalize the fl ow velocity in the vessel, i.e. the reduction in peak systolic velocity levels below 200 cm/s, and in end-diastolic velocity (EDV) levels below 55 cm/s during deep inspiration. In the case of celiac trunk stenosis exceeding 70–80%, additional information on the level of collateral circulation can be obtained by measuring the fl ow in the hepatic and splenic arteries – assessing the fl ow  velocity, resistance, and pulsatility indices (which fall below 0.65 and below 1.0 in cases of stenosis of the celiac trunk with a reduced capacity of collateral circulation), as well as assessing the changes in these parameters during normal respiration and during inspiration. This paper discusses in detail the examination methods for the celiac trunk and mesenteric arteries, as well as additional procedures used to confi rm the diagnosis and pathologies affecting visceral blood fl ow velocity, i.e.: cirrhosis and hypersplenism. The publication is an update of the Polish Ultrasound Society guidelines published in 2011. 

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REFERENCES

1. Pellerito J, Polak JF: Introduction to vascular sonography. Elsevier, Philadelphia 2012.
2. Moneta GL, Taylor DC, Helton WS, Mulholland MW, Strandness DE Jr et al.: Duplex ultrasound measurement of postprandial intestinal blood fl ow: effect of meal composition. Gastroenterology 1988; 95: 1294–1301.
3. Jäger K, Bollinger A, Valli C, Ammann R: Measurements of mesenteric blood fl ow by duplex scan. J Vasc Surg 1986; 3: 462–469.
4. Baxter BT, Pearce H: Diagnosis and surgical management of chronic mesenteric ischemia. In: Strandness DE, van Breda A (eds.): Vascular Diseases: Surgical and Interventional Therapy. Churchill Livingstone, New York 1994.
5. Cronenwett JL, Johnston KW: Rutherford’s Vascular Surgery. Saunders Elsevier, Philadelphia 2010.
6. Pellerito JS, Revzin MV, Tsang JC, Greben CR, Naidich JB: Doppler sonographic criteria for the diagnosis of inferior mesenteric artery stenosis. J Ultrasound Med 2009; 28: 641–650.
7. Cronenwett JL, Johnston KW: Rutherford’s Vascular Surgery. Saunders Elsevier, Philadelphia 2014. 
8. Armstrong PA: Visceral duplex scanning: evaluation before and after artery intervention for chronic mesenteric ischemia. Perspect Vasc Surg Endovasc Ther 2007; 19: 386–392.

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