Q: is it a problem if celiac artery stent has severe stenosis? aren't there collateral pathways for blood flow? my sma has high stenosis but is patent. my celiac stent is almost occluded. i don't understand. i read different opinions on this.

Yes: Yes it is a problem. Celiac artery is the major blood supply for the upper abdomen, including spleen, liver, stomach and pancreas. If there is not enough blood supply because of the severe stenosis, these organs are not going to function properly and parts of them could actually "die". The collateral pathways are too small to meet the high blood flow the celiac artery does. Intervention is needed

Q: ct showed hook shaped celiac artery w/stenosis but patent likely due to ligament.abd pain & nausea after meals. cause of symptoms?gi tests normal.

? celiac ischemia: You could have decreased blood flow to parts of your lower GI tract despite the artery being patent; having angulations can reduce flow even with patency. You need a work up by a GI MD

Q: can celiac artery stent have stenosis if the us says it's patent but the velocities are abnormally high (300s)?ct angiogram also patent. cath angio?

Vascular surgeon: This highly technical question is best answered by a vascular surgeon in collaboration with the reading radiologist. Specifically I would want a vascular surgeon and radiologist who are skilled and experienced in this field.

Q: hook shaped celiac artery w/stenosis but patent d/t ligament.yrs of abd pain&nausea after meals.no weight loss.gi tests normal.surgery or live with it

Causes of colitis: Inflammation (infection, ischemic, ibd) of large intestine = colitis. Specifically, ischemic colitis occurs when there is decreased blood flow to the gut, due either to vasospasm (seldom recurrent) or stenosis/occlusion (frequently recurrent). Don't ignore the possibility of recurrence here--since transmural ischemia or mesenteric ischemia can be serious &amp; often starts with "intestinal angina.

Question 1

what is meant when a us mesenteric artery says ima is patent and shows elevated velocities suggesting hemodynamically significant stenosis?

Accepted Answer

Symptoms=angiogram: Suggestion of stenosis on ultrasound should be corroborated by angiogram especially if any GI symptoms are present. Collaterals may have formed to protect IMA territory but angiogram can answer that question as well as allow for intervention if necessary

Question 2

the brachiocephalic artery, common carotid arteries, internal and external carotid arteries are patent. no stenosis is seen at the carotid bulbs. the vertebral arteries are patent without luminal irregularity or stenosis. what does this mean?

Accepted Answer

: All these blood vessels of your head and neck are normal. congratulations!

Question 3

can an artery be patent but have >70% stenosis?

Accepted Answer

Yes,but: minimally so. Where is the artery? It sounds like it needs to be stented  if its the heart.

Question 4

what does less than 50% stenosis in bilateral corotid arteries actually mean?

Accepted Answer

Carotid stenosis: Any carotid stenosis means that you have significcant hardening of the arteries that should be treated aggressively.  Less than 50% means that the risk of stroke over 5 years is low enough to warrant only aggressive medical therapy.  Medical therapy includes blood thinners, cholesterol reducing medicine, and blood pressure medicine.  Safe exercise is also very important.

Question 5

what does it mean the right suvclarican artery velocities hemodyamically significant stenosis?

Accepted Answer

: The wording indicates they found an increased flow rate at that point indicating a narrowing of the artery. It is like the rapids of a river when the flow comes through a narrow or rocky point.

Question 6

what does it mean when you have 1-15% stenosis of right and left internal carotid artery  and that clinical correlation recommended?

Accepted Answer

Mild narrowing: The cutoff for a signicant or abnormal is 50% narrowing or greater.  Minor narrowing < 30% is considered normal.  Clinical correlation means to ask your doctor what the test means for you as an individual.

Question 7

is it a problem if celiac artery stent has severe stenosis? aren't there collateral pathways for blood flow?   my sma has high stenosis but is patent. my celiac stent is almost occluded. i don't understand. i read different opinions on this.

Accepted Answer

Yes: Yes it is a problem. Celiac artery is the major blood supply for the upper abdomen, including spleen, liver, stomach and pancreas.
If there is not enough blood supply because of the severe stenosis, these organs are not going to function properly and parts of them could actually "die".
The collateral pathways are too small to meet the high blood flow the celiac artery does.
Intervention is needed

Question 8

ct showed hook shaped celiac artery w/stenosis but patent likely due to ligament.abd pain & nausea after meals.  cause of symptoms?gi tests normal.

Accepted Answer

? celiac ischemia: You could have decreased blood flow to parts of your lower GI tract despite the artery being patent;  having angulations can reduce flow even with patency.  You need a work up by a GI MD

Question 9

can celiac artery stent have stenosis if the us says it's patent but the velocities are abnormally high (300s)?ct angiogram also patent. cath angio?

Accepted Answer

Vascular surgeon: This highly technical question is best answered by a vascular surgeon  in collaboration with the reading radiologist. Specifically I would want a vascular surgeon and radiologist who are skilled and experienced in this field.

Question 10

hook shaped celiac artery w/stenosis but patent d/t ligament.yrs of abd pain&nausea after meals.no weight loss.gi tests normal.surgery or live with it

Accepted Answer

Causes of colitis: Inflammation (infection, ischemic, ibd) of large intestine = colitis. Specifically, ischemic colitis occurs when there is decreased blood flow to the gut, due either to vasospasm (seldom recurrent) or stenosis/occlusion (frequently recurrent). Don't ignore the possibility of recurrence here--since transmural ischemia or mesenteric ischemia can be serious &amp; often starts with "intestinal angina.

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Doctor answers about:

What does it mean Patent visualized major intracranial and extracranial arteries without stenosis

A member asked:

What is meant when a us mesenteric artery says ima is patent and shows elevated velocities suggesting hemodynamically significant stenosis?

A member asked:

The brachiocephalic artery, common carotid arteries, internal and external carotid arteries are patent. no stenosis is seen at the carotid bulbs. the vertebral arteries are patent without luminal irregularity or stenosis. what does this mean?

A member asked:

Can an artery be patent but have >70% stenosis?

A member asked:

What does less than 50% stenosis in bilateral corotid arteries actually mean?

A member asked:

What does it mean the right suvclarican artery velocities hemodyamically significant stenosis?

A member asked:

What does it mean when you have 1-15% stenosis of right and left internal carotid artery and that clinical correlation recommended?

A member asked:

Is it a problem if celiac artery stent has severe stenosis? aren't there collateral pathways for blood flow? my sma has high stenosis but is patent. my celiac stent is almost occluded. i don't understand. i read different opinions on this.

A member asked:

Ct showed hook shaped celiac artery w/stenosis but patent likely due to ligament.abd pain & nausea after meals. cause of symptoms?gi tests normal.

A member asked:

Can celiac artery stent have stenosis if the us says it's patent but the velocities are abnormally high (300s)?ct angiogram also patent. cath angio?

A member asked:

Hook shaped celiac artery w/stenosis but patent d/t ligament.yrs of abd pain&nausea after meals.no weight loss.gi tests normal.surgery or live with it

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