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
Echocardiography or 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.