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Duplex Doppler sonography of celiac trunk and superior mesenteric artery: comparison with intra‐arterial angiography
Author(s) -
Mallek R,
Mostbeck G H,
Walter R M,
Stümpflen A,
Helbich T,
Tscholakoff D
Publication year - 1993
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.1993.12.6.337
Subject(s) - medicine , trunk , stenosis , celiac artery , radiology , occlusion , angiography , superior mesenteric artery , duplex ultrasonography , cardiology , artery , ultrasonography , ecology , biology
DDS was compared to intra‐arterial angiography for the diagnosis of significant (> 50%) stenoses of the celiac trunk and the SMA in 38 consecutive patients referred for angiographic evaluation of peripheral arterial occlusive disease. Celiac trunk occlusion was correctly identified by DDS in three of three patients. In patients with significant celiac trunk stenoses, mean peak systolic velocity was 246 (+/‐ 154) cm/sec and differed significantly (P < 0.05) from the peak systolic velocity (101 +/‐ 22 cm/sec) of 22 patients with no angiographic evidence of significant stenosis. Five false‐negative DDS examinations in patients with > 50% celiac trunk stenoses were noted. Using a peak systolic velocity of > 160 cm/sec (mean value in normal vessels plus 3 standard deviations) to diagnose > 50% celiac trunk stenosis, sensitivity of DDS was 57% and specificity was 100%. However, considering celiac trunk stenoses and occlusions as a single group, the sensitivity rate of DDS in diagnosing significant stenosis and occlusion of celiac trunk was 70%.