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Takayasu's arteritis echocardiograhy and ultrasound

Introduction

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. 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

  • 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

  • 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

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.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]