Journal of Vascular Surgery
Volume 50, Issue 2 , Pages 335-340 , August 2009

Duplex criteria for native superior mesenteric artery stenosis overestimate stenosis in stented superior mesenteric arteries

  • Erica L. Mitchell, MD

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, Oregon Health & Science University, Portland, Ore
    • Corresponding Author InformationReprint requests: Erica L. Mitchell, MD, Assistant Professor of Surgery, Division of Vascular Surgery, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, OP-11, Portland, OR 97239
    • ,
  • Eugene Y. Chang, MD

      Affiliations

    • Division of General Surgery, Department of Surgery, Oregon Health & Science University, Portland, Ore
    • ,
  • Gregory J. Landry, MD

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, Oregon Health & Science University, Portland, Ore
    • ,
  • Timothy K. Liem, MD

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, Oregon Health & Science University, Portland, Ore
    • ,
  • Fredrick S. Keller, MD

      Affiliations

    • Dotter Institute and Department of Radiology, Oregon Health & Science University, Portland, Ore
    • ,
  • Gregory L. Moneta, MD

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, Oregon Health & Science University, Portland, Ore

Received 22 September 2008 ,Accepted 29 December 2008.

  • Image Result

    Dot plot of pressure gradients pre- and post-stenting of the SMA.

    Dot plot of pressure gradients pre- and post-stenting of the SMA.

  • Image Result

    Box plot showing pressure gradient in the SMA pre- and post- stenting. Thick horizontal lines, boxes and error bars denote median, interquartile range and range, respectively, P < .001.

    Box plot showing pressure gradient in the SMA pre- and post- stenting. Thick horizontal lines, boxes and error bars denote median, interquartile range and range, respectively, P < .001.

  • Image Result

    Dot plot of SMA PSVs prior to and after SMA stent placement.

    Dot plot of SMA PSVs prior to and after SMA stent placement.

  • Image Result

    Box plot showing SMA PSVs pre- and post-stenting. Thick horizontal lines, boxes, and error bars denote median, interquartile range, and range, respectively, P = .011. Dashed line represents >70% SMA s

    Box plot showing SMA PSVs pre- and post-stenting. Thick horizontal lines, boxes, and error bars denote median, interquartile range, and range, respectively, P = .011. Dashed line represents >70% SMA stenosis for PSV >275 cm/second.

  • Image Result
    A, Pre-stent lateral aortograms demonstrating high grade SMA stenosis. B, Follow-up lateral aortograms immediately post-placement of SMA stent. The measured PSV 1 day post-stent was 360cm/second.

    A, Pre-stent lateral aortograms demonstrating high grade SMA stenosis. B, Follow-up lateral aortograms immediately post-placement of SMA stent. The measured PSV 1 day post-stent was 360cm/second.

 Competition of interest: none.

PII: S0741-5214(08)02375-6

doi: 10.1016/j.jvs.2008.12.071

Journal of Vascular Surgery
Volume 50, Issue 2 , Pages 335-340 , August 2009

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