SIGNIFICANT DISEASE OF THE CELIAC AND SUPERIOR MESENTERIC-ARTERIES IN ASYMPTOMATIC PATIENTS - PREDICTIVE VALUE OF DOPPLER SONOGRAPHY
SIGNIFICANT DISEASE OF THE CELIAC AND SUPERIOR MESENTERIC-ARTERIES IN ASYMPTOMATIC PATIENTS - PREDICTIVE VALUE OF DOPPLER SONOGRAPHY
复制标题
DOI：
10.2214/ajr.161.5.8273642
复制
发表时间：
1993-11-01
影响因子：
5
通讯作者：
DUBBINS, PA
中科院分区：
文献类型：
--
作者：
ROOBOTTOM, CA;DUBBINS, PA
OBJECTIVE.本研究的目的是评估重大疾病的频率（即，闭塞或狭窄> 70%）的腹腔动脉和上级肠系膜动脉。使用从先前的血管造影-多普勒相关性研究中获得的多普勒超声标准，我们评估了184例无肠系膜缺血体征或症状的患者腹腔动脉和上级肠系膜动脉显著病变的频率。对于小于65岁的患者，显著疾病的频率为3%，并且其被隔离到腹腔动脉。在65岁以上的患者中，18%发现了重大疾病（11%，孤立于一条血管; 7%，两条血管的疾病）。腹腔动脉单支病变（81%）较上级肠系膜动脉（19%）多见。这些结果表明，多普勒超声发现腹腔动脉和上级肠系膜动脉的显著异常并不一定表明肠系膜缺血。
OBJECTIVE. The purpose of this study was to assess the frequency of significant disease (i.e., occlusion or stenosis > 70%) of the celiac and superior mesenteric arteries in asymptomatic patients.SUBJECTS AND METHODS. Using duplex sonographic criteria obtained from previous angiographic-duplex Doppler correlation studies, we assessed the frequency of significant disease in the celiac and superior mesenteric arteries in 184 patients who had no signs or symptoms of mesenteric ischemia.RESULTS. For patients less than 65 years old, the frequency of significant disease was 3%, and it was isolated to the celiac artery. Significant disease was found in 18% of patients more than 65 years old (in 11%, isolated to one vessel; in 7%, disease of both vessels). Single-vessel disease was more common in the celiac artery (81%) than in the superior mesenteric artery (19%).CONCLUSION. These results indicate that the finding of significant abnormality of the celiac and superior mesenteric arteries on Doppler sonograms does not necessarily indicate mesenteric ischemia.