Diagnostic value of color Doppler sonography for spontaneous isolated superior mesenteric artery dissection

Bao,Shougang; Wang,Tiezheng; Jin,Xing; Zhang,Shiyi; Qi,Hengtao; Dong,Dianning; Mou,Xiaofei; Zhang,Xiandong; Li,Chengli

doi:10.3892/etm.2019.7399

Diagnostic value of color Doppler sonography for spontaneous isolated superior mesenteric artery dissection

Authors:
- Shougang Bao
- Tiezheng Wang
- Xing Jin
- Shiyi Zhang
- Hengtao Qi
- Dianning Dong
- Xiaofei Mou
- Xiandong Zhang
- Chengli Li
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Affiliations: Department of Ultrasound, Shandong Medical Imaging Research Institute Affiliated to Shandong University, Jinan, Shandong 250021, P.R. China, Department of Vascular Surgery, Provincial Hospital Affiliated to Shandong University, Jinan, Shandong 250021, P.R. China
Published online on: March 14, 2019 https://doi.org/10.3892/etm.2019.7399
Pages: 3489-3494
Copyright: © Bao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The present study aimed to evaluate the clinical significance of color Doppler sonography (CDS) in the diagnosis of spontaneous isolated superior mesenteric artery dissection (SISMAD). The ultrasonographic images of 19 patients with SISMAD confirmed by computed tomography angiography (CTA) were retrospectively analyzed and the ultrasonographic features were summarized. The paired t‑test was used to statistically analyze the differences in parameters determined by CTA vs. CDS, including the minimal inner diameter (MID), cross‑sectional area (CSA), diameter and area stenosis rate, and flow rate of the true lumen. Of the 19 patients, 18 (94.7%) were diagnosed with SISMAD with correct classification by CDS. There was no significant difference between CTA and CDS with regard to minimal ID, CSA, diameter stenosis and area stenosis rate, and flow rate of the true lumen (all P>0.05). CDS was indicated to be an effective imaging modality for the diagnosis of SISMAD.

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