Takayasu's arteritis echocardiograhy and ultrasound
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]
Overview
Doppler ultrasound is a useful non-invasive procedure for the assessment of vessel wall inflammation in patients with Takayasu's arteritis. Ultrasonography is limited by operator-dependent artefacts from overlying structures and bowel gas and this limitation prevents this modality from being the ideal method in the serial evaluation of patients with TA. In Takayasu's arteritis, ultrasound can be helpful in detecting sub-millimeter changes in wall thickness of the carotid arteries.
Echocardiography and Ultrasound
In Takayasu's arteritis, ultrasound studies are as follows:[1][2][3][4]
- In patients with Takayasu arteritis, duplex ultrasound can monitor disease progression and the effects of therapy.
- Serial duplex studies can reduce the need for interval angiographic follow-up.
- Doppler ultrasound is a useful non-invasive procedure for the assessment of vessel wall inflammation in patients with Takayasu's arteritis.
- Ultrasonography is limited by operator-dependent artefacts from overlying structures and bowel gas.
- This limitation prevents this modality from being the ideal method in the serial evaluation of patients with TA.
- In patients with Takayasu's arteritis, ultrasound can be helpful in detecting sub-millimeter changes in wall thickness of the carotid arteries.
- Ultrasound can be helpful differentiating Takayasu's arteritis from atherosclerotic disease based on:
- Minimal plaque content
- Concentric and long segmental involvement
- Location of lesion
References
- ↑ Buckley A, Southwood T, Culham G, Nadel H, Malleson P, Petty R (July 1991). "The role of ultrasound in evaluation of Takayasu's arteritis". J. Rheumatol. 18 (7): 1073–80. PMID 1681101.
- ↑ Johnston SL, Lock RJ, Gompels MM (July 2002). "Takayasu arteritis: a review". J. Clin. Pathol. 55 (7): 481–6. PMC 1769710. PMID 12101189.
- ↑ Zhu FP, Luo S, Wang ZJ, Jin ZY, Zhang LJ, Lu GM (December 2012). "Takayasu arteritis: imaging spectrum at multidetector CT angiography". Br J Radiol. 85 (1020): e1282–92. doi:10.1259/bjr/25536451. PMC 3611735. PMID 23175494.
- ↑ Kissin EY, Merkel PA (January 2004). "Diagnostic imaging in Takayasu arteritis". Curr Opin Rheumatol. 16 (1): 31–7. PMID 14673386.