Document Detail


The diagnostic value of levovist in Doppler imaging of visceral arteries in patients with abdominal angina before and after angioplasty.
MedLine Citation:
PMID:  12573792     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To assess the diagnostic value of Levovist in the ultrasound imaging of visceral arteries in patients with clinical symptoms of abdominal angina, before and after percutaneous transluminal angioplasty (PTA). MATERIAL AND METHOD: During a 12-month period (2000/2001) five patients with visceral arterial stenoses had ultrasound examinations and a subsequent PTA procedure. Indications for ultrasound examination were abdominal angina symptoms persisting for 3-5 years, (postprandial abdominal pain, diarrhea, and vomiting). In all patients ultrasound examinations were performed using color and spectral Doppler before and after Levovist injections. Color Doppler images and maximum blood flow velocity in stenosed visceral arteries were assessed. Patients underwent control Doppler examinations with Levovist injections to assess the effect of PTA. RESULTS: In three patients conventional Doppler examination did not allow proper evaluation of visceral arteries, because of weak color and spectral Doppler signal and in two remaining patients visceral arteries were not visualized at all. In all five patients strong enhancement of color and spectral Doppler signal was observed after Levovist administration. In all these cases a hemodynamically significant stenosis was diagnosed: coeliac trunk-2 and superior mesenteric artery-3. PTA was performed successfully in these patients. In one of them ultrasound examination done before Levovist injection allowed good visualization of treated SMA and showed good PTA result. In the remaining four patients Doppler examination with the use of Levovist demonstrated visceral arteries well and confirmed successful PTA procedures. CONCLUSIONS: The use of Levovist makes the diagnostic efficiency of Doppler examinations much higher. In most cases it allows an unequivocal diagnosis of visceral artery stenosis in patients with abdominal angina symptoms. The Doppler examination with the use of Levovist is the method of choice in follow-up after PTA.
Authors:
Anna Drelich-Zbroja; Tomasz Jargiello; Anna Szymanska; Wojciech Krzyzanowski; Mayda ElFurah; Malgorzata Szczerbo-Trojanowska
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of ultrasound : official journal of the European Federation of Societies for Ultrasound in Medicine and Biology     Volume:  16     ISSN:  0929-8266     ISO Abbreviation:  Eur J Ultrasound     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-02-07     Completed Date:  2003-06-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9440414     Medline TA:  Eur J Ultrasound     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  225-35     Citation Subset:  IM    
Affiliation:
Department of Interventional Radiology and Neuroradiology, University School of Medicine in Lublin, 20-954 Jaczewskiego 8, Poland. zbroanna@interia.pl
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MeSH Terms
Descriptor/Qualifier:
Abdomen / blood supply
Abdominal Pain / etiology
Aged
Aged, 80 and over
Angioplasty, Balloon*
Contrast Media*
Female
Humans
Male
Mesenteric Vascular Occlusion / therapy*,  ultrasonography*
Middle Aged
Polysaccharides / diagnostic use*
Ultrasonography, Doppler, Color*
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Polysaccharides; 127279-08-7/SHU 508

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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