Takayasu's arteritis echocardiograhy and ultrasound: Difference between revisions

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==Overview==
==Overview==
[[Echocardiography]] may be helpful in the diagnosis of Takayasu's arteritis and its complications. Findings on an [[echocardiography]] suggestive of Takayasu's arteritis include [[aortic regurgitation]]. [[Medical ultrasonography|Doppler ultrasound]] is a useful non-invasive procedure for the assessment of [[Blood vessel|vessel]] wall [[inflammation]] in patients with Takayasu's arteritis. [[Medical ultrasonography|Ultrasonography]] is limited by operator-dependent artefacts from overlying structures and bowel gas. In Takayasu's arteritis, [[ultrasound]] can be helpful in detecting sub-millimeter changes in wall thickness of the [[Common carotid artery|carotid arteries]].


==Echocardiography and Ultrasound==
==Echocardiography==
In Takayasu's arteritis, [[ultrasound]] studies are as follows:<ref name="pmid1681101">{{cite journal |vauthors=Buckley A, Southwood T, Culham G, Nadel H, Malleson P, Petty R |title=The role of ultrasound in evaluation of Takayasu's arteritis |journal=J. Rheumatol. |volume=18 |issue=7 |pages=1073–80 |date=July 1991 |pmid=1681101 |doi= |url=}}</ref><ref name="pmid12101189">{{cite journal |vauthors=Johnston SL, Lock RJ, Gompels MM |title=Takayasu arteritis: a review |journal=J. Clin. Pathol. |volume=55 |issue=7 |pages=481–6 |date=July 2002 |pmid=12101189 |pmc=1769710 |doi= |url=}}</ref><ref name="pmid23175494">{{cite journal |vauthors=Zhu FP, Luo S, Wang ZJ, Jin ZY, Zhang LJ, Lu GM |title=Takayasu arteritis: imaging spectrum at multidetector CT angiography |journal=Br J Radiol |volume=85 |issue=1020 |pages=e1282–92 |date=December 2012 |pmid=23175494 |pmc=3611735 |doi=10.1259/bjr/25536451 |url=}}</ref><ref name="pmid14673386">{{cite journal |vauthors=Kissin EY, Merkel PA |title=Diagnostic imaging in Takayasu arteritis |journal=Curr Opin Rheumatol |volume=16 |issue=1 |pages=31–7 |date=January 2004 |pmid=14673386 |doi= |url=}}</ref>
* [[Echocardiography]] may be helpful in the diagnosis of Takayasu's arteritis and its complications. Findings on an echocardiography suggestive of Takayasu's arteritis include:
* In patients with Takayasu arteritis, [[duplex ultrasound]] can monitor disease progression and the effects of therapy.
** [[Aortic regurgitation]]
** Serial [[Duplex ultrasound|duplex studies]] can reduce the need for interval [[Angiogram|angiographic]] follow-up.
 
* [[Medical ultrasonography|Doppler ultrasound]] is a useful non-invasive procedure for the assessment of vessel wall [[inflammation]] in patients with Takayasu's arteritis.
==Ultrasound==
* [[Medical ultrasonography|Ultrasonography]] is limited by operator-dependent artefacts from overlying structures and bowel gas.
* [[Ultrasound]] may be used in the patients with Takayasu's arteritis to:<ref name="pmid1681101">{{cite journal |vauthors=Buckley A, Southwood T, Culham G, Nadel H, Malleson P, Petty R |title=The role of ultrasound in evaluation of Takayasu's arteritis |journal=J. Rheumatol. |volume=18 |issue=7 |pages=1073–80 |date=July 1991 |pmid=1681101 |doi= |url=}}</ref><ref name="pmid12101189">{{cite journal |vauthors=Johnston SL, Lock RJ, Gompels MM |title=Takayasu arteritis: a review |journal=J. Clin. Pathol. |volume=55 |issue=7 |pages=481–6 |date=July 2002 |pmid=12101189 |pmc=1769710 |doi= |url=}}</ref><ref name="pmid14673386">{{cite journal |vauthors=Kissin EY, Merkel PA |title=Diagnostic imaging in Takayasu arteritis |journal=Curr Opin Rheumatol |volume=16 |issue=1 |pages=31–7 |date=January 2004 |pmid=14673386 |doi= |url=}}</ref><ref name="pmid23175494">{{cite journal |vauthors=Zhu FP, Luo S, Wang ZJ, Jin ZY, Zhang LJ, Lu GM |title=Takayasu arteritis: imaging spectrum at multidetector CT angiography |journal=Br J Radiol |volume=85 |issue=1020 |pages=e1282–92 |date=December 2012 |pmid=23175494 |pmc=3611735 |doi=10.1259/bjr/25536451 |url=}}</ref>
** This limitation prevents this modality from being the ideal method in the serial evaluation of patients with TA.
** Assessment of [[Blood vessel|vessel]] wall [[inflammation]]
* In patients with Takayasu's arteritis, [[ultrasound]] can be helpful in detecting sub-millimeter changes in wall thickness of the carotid arteries.
** Detect sub-millimeter changes in wall thickness of the [[Common carotid artery|carotid arteries]]
* [[Ultrasound]] can be helpful differentiating Takayasu's arteritis from [[Atherosclerosis|atherosclerotic disease]] based on:
** Monitor disease progression
** Minimal plaque content
** Check therapy
** Concentric and long segmental involvement
** Detect complications
** Location of lesion
** Reduce the need for interval [[Angiogram|angiographic]] follow-up
** Differentiate Takayasu's arteritis from [[Atherosclerosis|atherosclerotic disease]] based on:
*** Minimal plaque content
*** Concentric and long segmental involvement
*** Location of lesion
** [[Medical ultrasonography|Ultrasonography]] is limited by operator-dependent artefacts from overlying structures and bowel gas.


==References==
==References==
{{reflist|2}}
{{reflist|2}}


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Latest revision as of 19:35, 1 May 2018

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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

Echocardiography may be helpful in the diagnosis of Takayasu's arteritis and its complications. Findings on an echocardiography suggestive of Takayasu's arteritis include aortic regurgitation. 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. In Takayasu's arteritis, ultrasound can be helpful in detecting sub-millimeter changes in wall thickness of the carotid arteries.

Echocardiography

  • Echocardiography may be helpful in the diagnosis of Takayasu's arteritis and its complications. Findings on an echocardiography suggestive of Takayasu's arteritis include:

Ultrasound

  • Ultrasound may be used in the patients with Takayasu's arteritis to:[1][2][3][4]
    • Assessment of vessel wall inflammation
    • Detect sub-millimeter changes in wall thickness of the carotid arteries
    • Monitor disease progression
    • Check therapy
    • Detect complications
    • Reduce the need for interval angiographic follow-up
    • Differentiate Takayasu's arteritis from atherosclerotic disease based on:
      • Minimal plaque content
      • Concentric and long segmental involvement
      • Location of lesion
    • Ultrasonography is limited by operator-dependent artefacts from overlying structures and bowel gas.

References

  1. 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.
  2. Johnston SL, Lock RJ, Gompels MM (July 2002). "Takayasu arteritis: a review". J. Clin. Pathol. 55 (7): 481–6. PMC 1769710. PMID 12101189.
  3. Kissin EY, Merkel PA (January 2004). "Diagnostic imaging in Takayasu arteritis". Curr Opin Rheumatol. 16 (1): 31–7. PMID 14673386.
  4. 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.

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