Duplex ultrasound criteria for diagnosis of splanchnic artery stenosis or occlusion

Gregory L. Moneta, Richard A. Yeager, Ronald Dalman, Ruza Antonovic, Lee D. Hall, John M. Porter

    Research output: Contribution to journalArticle

    148 Scopus citations

    Abstract

    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 infra-diaphragmatic 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 ≥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 ≥275 cm/sec in the superior mesenteric artery and ≥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.

    Original languageEnglish (US)
    Pages (from-to)511-520
    Number of pages10
    JournalJournal of vascular surgery
    Volume14
    Issue number4
    DOIs
    StatePublished - Oct 1991

    ASJC Scopus subject areas

    • Surgery
    • Cardiology and Cardiovascular Medicine

    Fingerprint Dive into the research topics of 'Duplex ultrasound criteria for diagnosis of splanchnic artery stenosis or occlusion'. Together they form a unique fingerprint.

  • Cite this