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SMA Stenosis
Andrey Rupasov, DO; Shweta Bhatt, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Superior mesenteric artery (SMA)
          • Synonyms

            • Mesenteric vascular disease
            • Splanchnic artery stenosis
          • Definitions

            • Stenosis: Abnormal hemodynamically significant narrowing of cross-sectional area of vascular lumen

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • CT Findings

                • MR Findings

                  • Angiographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Image Interpretation Pearls

                                    • Reporting Tips

                                      Selected References

                                      1. Soult MC et al: Duplex ultrasound criteria for in-stent restenosis of mesenteric arteries. J Vasc Surg. 64(5):1366-1372, 2016
                                      2. Wilson DB et al: Clinical course of mesenteric artery stenosis in elderly americans. Arch Intern Med. 166(19):2095-100, 2006
                                      3. Oldenburg WA et al: Acute mesenteric ischemia: a clinical review. Arch Intern Med. 164(10):1054-62, 2004
                                      4. Zwolak RM et al: Mesenteric and celiac duplex scanning: a validation study. J Vasc Surg. 27(6):1078-87; discussion 1088, 1998
                                      5. Perko MJ et al: Importance of diastolic velocities in the detection of celiac and mesenteric artery disease by duplex ultrasound. J Vasc Surg. 26(2):288-93, 1997
                                      6. Gentile AT et al: Usefulness of fasting and postprandial duplex ultrasound examinations for predicting high-grade superior mesenteric artery stenosis. Am J Surg. 169(5):476-9, 1995
                                      7. Moneta GL et al: Mesenteric duplex scanning: a blinded prospective study. J Vasc Surg. 17(1):79-84; discussion 85-6, 1993
                                      8. Roobottom CA et al: Significant disease of the celiac and superior mesenteric arteries in asymptomatic patients: predictive value of Doppler sonography. AJR Am J Roentgenol. 161(5):985-8, 1993
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Superior mesenteric artery (SMA)
                                              • Synonyms

                                                • Mesenteric vascular disease
                                                • Splanchnic artery stenosis
                                              • Definitions

                                                • Stenosis: Abnormal hemodynamically significant narrowing of cross-sectional area of vascular lumen

                                              IMAGING

                                              • General Features

                                                • Ultrasonographic Findings

                                                  • CT Findings

                                                    • MR Findings

                                                      • Angiographic Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Image Interpretation Pearls

                                                                        • Reporting Tips

                                                                          Selected References

                                                                          1. Soult MC et al: Duplex ultrasound criteria for in-stent restenosis of mesenteric arteries. J Vasc Surg. 64(5):1366-1372, 2016
                                                                          2. Wilson DB et al: Clinical course of mesenteric artery stenosis in elderly americans. Arch Intern Med. 166(19):2095-100, 2006
                                                                          3. Oldenburg WA et al: Acute mesenteric ischemia: a clinical review. Arch Intern Med. 164(10):1054-62, 2004
                                                                          4. Zwolak RM et al: Mesenteric and celiac duplex scanning: a validation study. J Vasc Surg. 27(6):1078-87; discussion 1088, 1998
                                                                          5. Perko MJ et al: Importance of diastolic velocities in the detection of celiac and mesenteric artery disease by duplex ultrasound. J Vasc Surg. 26(2):288-93, 1997
                                                                          6. Gentile AT et al: Usefulness of fasting and postprandial duplex ultrasound examinations for predicting high-grade superior mesenteric artery stenosis. Am J Surg. 169(5):476-9, 1995
                                                                          7. Moneta GL et al: Mesenteric duplex scanning: a blinded prospective study. J Vasc Surg. 17(1):79-84; discussion 85-6, 1993
                                                                          8. Roobottom CA et al: Significant disease of the celiac and superior mesenteric arteries in asymptomatic patients: predictive value of Doppler sonography. AJR Am J Roentgenol. 161(5):985-8, 1993