4 doctors weighed in:
Could duplex ultrasound replace arteriography in screening for mesenteric ischemia?
4 doctors weighed in

Dr. Shadi Abu Halimah
Surgery - Vascular
1 doctor agrees
In brief: No screening
There is nothing called screening for mesenteric stenosis.
If you have no symptoms then you no need to screen for occlusion. If you have chronic symptoms then duplex ultrasound is a good starting test but has a lot of limitations. In cases of acute ischemia then ct scan is best to start with.

In brief: No screening
There is nothing called screening for mesenteric stenosis.
If you have no symptoms then you no need to screen for occlusion. If you have chronic symptoms then duplex ultrasound is a good starting test but has a lot of limitations. In cases of acute ischemia then ct scan is best to start with.
Dr. Shadi Abu Halimah
Dr. Shadi Abu Halimah
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Dr. Michael Korona
Radiology - Interventional
1 doctor agrees
In brief: Doppler
Is screening tool for mesenteric ischemia.
If abnormal cta should then evaluate the vessels to determine treatment options.

In brief: Doppler
Is screening tool for mesenteric ischemia.
If abnormal cta should then evaluate the vessels to determine treatment options.
Dr. Michael Korona
Dr. Michael Korona
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Dr. Ankush Bansal
Internal Medicine
In brief: No
The problem with any ultrasound is that it has to penetrate a number of layers before reaching its target.
In the abdomen, it has to penetrate the skin, fat (some have more than others), muscle, & some organs. Also, seeing active blood flow requires a clear picture not hindered by other overlying or nearby blood vessels. Therefore, the abdomen is not ideal. Angiography gives a direct, clear view.

In brief: No
The problem with any ultrasound is that it has to penetrate a number of layers before reaching its target.
In the abdomen, it has to penetrate the skin, fat (some have more than others), muscle, & some organs. Also, seeing active blood flow requires a clear picture not hindered by other overlying or nearby blood vessels. Therefore, the abdomen is not ideal. Angiography gives a direct, clear view.
Dr. Ankush Bansal
Dr. Ankush Bansal
Thank
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