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Abdominal Vascular Evaluation

  • Author Footnotes
    1 No Disclosures
    Ahmed Aly
    Footnotes
    1 No Disclosures
    Affiliations
    University of Nebraska Medical Center, Omaha, NE
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  • Author Footnotes
    2 No Disclosures
    Robert Burt
    Footnotes
    2 No Disclosures
    Affiliations
    Loma Linda University, Loma Linda, CA
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  • Author Footnotes
    3 No Disclosures
    Elena Violari
    Footnotes
    3 No Disclosures
    Affiliations
    Franciscan Hospitals of Northwest Indiana, Dyer, IN
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  • Author Footnotes
    4 Disclosures: Philips Healthcare – Consultant; Shockwave Medical – Speaker; Penumbra – Speaker; BD Bard – Speaker; Cordis – Speaker; Cook Medical - Speaker
    Costantino Peña
    Footnotes
    4 Disclosures: Philips Healthcare – Consultant; Shockwave Medical – Speaker; Penumbra – Speaker; BD Bard – Speaker; Cordis – Speaker; Cook Medical - Speaker
    Affiliations
    Miami Cardiac and Vascular Institute, Miami, FL
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  • Author Footnotes
    5 Disclosures: Hologic – Consultant; Pfizer – Speaker; Boston Scientific – Speaker
    Yolanda Bryce
    Correspondence
    Address reprint requests to Yolanda Bryce, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065.
    Footnotes
    5 Disclosures: Hologic – Consultant; Pfizer – Speaker; Boston Scientific – Speaker
    Affiliations
    Memorial Sloan Kettering Cancer Center, New York, NY
    Search for articles by this author
  • Author Footnotes
    1 No Disclosures
    2 No Disclosures
    3 No Disclosures
    4 Disclosures: Philips Healthcare – Consultant; Shockwave Medical – Speaker; Penumbra – Speaker; BD Bard – Speaker; Cordis – Speaker; Cook Medical - Speaker
    5 Disclosures: Hologic – Consultant; Pfizer – Speaker; Boston Scientific – Speaker
Published:September 05, 2022DOI:https://doi.org/10.1016/j.tvir.2022.100863
      The vascular lab (VL) is instrumental in diagnosing vascular diseases such as renal artery stenosis and mesenteric ischemia or following a patient after transjugular intrahepatic portal systemic shunt (TIPS) creation. This article discusses indications, protocol, and diagnostic criteria for abdominal vascular ultrasound. The vascular lab can be used to investigate pathology in the abdomen either as a preliminary screening tool to evaluate for a pathology such as mesenteric artery stenosis in a patient with food fear and weight loss, renal artery stenosis in a patient with refractory hypertension or renal failure, or as a diagnostic tool in follow up after a patient has undergone a transjugular intrahepatic portal systemic shunt (TIPS) for portal hypertension. The technical success of duplex ultrasonography of the abdomen can be compromised by respiratory motion, obesity, and intestinal gas. Therefore, duplex scanning is performed in the fasting state particularly in elective outpatient cases. In emergent cases when pathology such as acute mesenteric ischemia is suspected evaluation with CT angiography may be best.

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