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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
Rivista di Chirurgia Vascolare ed Endovascolare
Italian Journal of Vascular and Endovascular Surgery 2008 Giugno;15(2):127-30
Diagnosis of mesenteric arterial disease
Oak J. R., Geraghty P. J.
Washington University Medical School St. Louis, Missouri, USA
Historically, the diagnosis of acute mesenteric ischemia (AMI) was primarily based on the history and physical exam obtained by an experienced surgeon. The immediate availability of high-quality helical computed tomography angiography (CTA) imaging in many medical centers has made this a routine examination in the suspected AMI patient. Diagnosis of chronic mesenteric ischemia may be arrived at by several avenues, although detailed imaging with catheter angiography, CTA, or magnetic resonance angiography is generally obtained prior to angiographic or surgical intervention.