A new comprehensive ultrasonic diagnostic method for celiac artery compression syndrome that hybridizes 'arterial compression hook sign' and peak systolic velocity
| Autor: | Daisuke Miura, Rino Hiwatashi, Tomoko Sakata, Mitsuto Sakita |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Hook Adolescent Constriction Pathologic 030218 nuclear medicine & medical imaging 03 medical and health sciences Young Adult 0302 clinical medicine Median Arcuate Ligament Syndrome Celiac artery compression Celiac Artery Internal medicine Internal Medicine medicine Humans Radiology Nuclear Medicine and imaging Ultrasonics Expiration Child Ultrasonography Original Paper business.industry Ultrasound nutritional and metabolic diseases General Medicine Middle Aged medicine.disease Compression (physics) Occult Cardiology 030211 gastroenterology & hepatology Female business Median arcuate ligament syndrome Blood Flow Velocity Sign (mathematics) |
| Zdroj: | J Ultrasound |
| ISSN: | 1876-7931 |
| Popis: | PURPOSE: Diagnosing celiac artery compression syndrome (CACS) is based on an imaging finding of celiac artery compression (CAC), but the diagnostic criteria are inconsistent. The study aim was to devise an ultrasonographic screening method to effectively diagnose CAC in occult CACS. METHODS: The subjects were 61 patients with suspected CACS who underwent ultrasonography at our hospital from May 2017 to December 2019 and were divided into the following two groups: the “arterial compression hook sign”-positive group (n = 15, mean age: 26.6 ± 16.4 years, six males, nine females) and -negative group (n = 41, mean age: 32.5 ± 18.6 years, 12 males, 34 females). We used B-mode and advanced dynamic flow to detect arterial compression hook sign and pulse Doppler to measure expiration peak systolic velocity (EPSV) and inspiration PSV (IPSV). RESULTS: The EPSV was significantly higher in the arterial compression hook sign-positive group (304.7 ± 47.4 cm/s) than in the -negative groups (158.2 ± 38.7 cm/s), (p 226 cm/s, and IPSV decreases by ≥ 68 cm/s, then CAC can be detected with high specificity. GRAPHIC ABSTRACT: [Image: see text] |
| Databáze: | OpenAIRE |
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