Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Luong D, Bell D, Superior mesenteric artery stenosis. Reference article, Radiopaedia.org (Accessed on 21 Mar 2025) https://doi.org/10.53347/rID-88955
Superior mesenteric artery stenosis refers to any form of narrowing involving the superior mesenteric artery and may result from a number of factors. It can result in acute or chronic mesenteric ischaemia.
Radiographic features
Ultrasound
Several values on doppler ultrasound have been proposed that include:
- to suggest stenosis of 70% or greater: peak systolic velocity (PSV) should be ≥275 cm/s 4,7
From a different paper:
- to suggest stenosis of 50-69% 5:
- peak systolic velocity (PSV) should be >280 cm/s
- end-diastolic velocity (EDV) >45 cm/s
- mesenteric aortic ratio (MAR) >3.6
- to suggest stenosis of 70-99% 5:
- peak systolic velocity (PSV) should be >395 cm/s
- end-diastolic velocity (EDV) >74 cm/s
- mesenteric aortic ratio (MAR) >3.6
See also
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1. Nevil Ghodasara, Robert Liddell, Elliot K. Fishman, Pamela T. Johnson. High-Value Multidetector CT Angiography of the Superior Mesenteric Artery: What Emergency Medicine Physicians and Interventional Radiologists Need to Know. (2019) RadioGraphics. doi:10.1148/rg.2019180131
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2. Aburahma AF, Mousa AY, Stone PA, Hass SM, Dean LS, Keiffer T. Duplex velocity criteria for native celiac/superior mesenteric artery stenosis vs in-stent stenosis. (2012) Journal of vascular surgery. 55 (3): 730-8. doi:10.1016/j.jvs.2011.10.086 - Pubmed
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3. Lim HK, Lee WJ, Kim SH, Lee SJ, Choi SH, Park HS, Do YS, Choo SW, Choo IW. Splanchnic arterial stenosis or occlusion: diagnosis at Doppler US. (1999) Radiology. 211 (2): 405-10. doi:10.1148/radiology.211.2.r99ma27405 - Pubmed
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3. Ming-Chen Paul Shih, Klaus D. Hagspiel. CTA and MRA in Mesenteric Ischemia: Part 1, Role in Diagnosis and Differential Diagnosis. (2012) American Journal of Roentgenology. doi:10.2214/AJR.05.1167
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4. Mitchell EL, Chang EY, Landry GJ, Liem TK, Keller FS, Moneta GL. Duplex criteria for native superior mesenteric artery stenosis overestimate stenosis in stented superior mesenteric arteries. (2009) Journal of vascular surgery. 50 (2): 335-40. doi:10.1016/j.jvs.2008.12.071 - Pubmed
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5. Biri S, Biri İ, Gultekin Y, Yurdakul M, Ozdemir M, Tola M. Doppler ultrasonography criteria of superior mesenteric artery stenosis. (2019) Journal of clinical ultrasound : JCU. 47 (5): 267-271. doi:10.1002/jcu.22695 - Pubmed
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6. AbuRahma AF, Stone PA, Srivastava M, Dean LS, Keiffer T, Hass SM, Mousa AY. Mesenteric/celiac duplex ultrasound interpretation criteria revisited. (2012) Journal of vascular surgery. 55 (2): 428-436.e6; discussion 435-6. doi:10.1016/j.jvs.2011.08.052 - Pubmed
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7. Moneta GL, Yeager RA, Dalman R, Antonovic R, Hall LD, Porter JM. Duplex ultrasound criteria for diagnosis of splanchnic artery stenosis or occlusion. (1991) Journal of vascular surgery. 14 (4): 511-8; discussion 518-20. Pubmed
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