Arteritis

Jess

1. What is this showing?

Michayla: This sonographic image is a representation of Takayasu's arteritis in the right proximal common carotid artery. It is displayed by inflammation of the intimal wall.

JEN: In this 2D image above, I am seeing severe thickening of the intimal media wall. I am thinking this could be IMT due to atherosclerosis, or even Takayasu's like Michayla mentioned, because of how thick it is, surrounding the entire vessel. Below is an image of Takayasu's I found online, and it is very similar to the image above. Takayasu's arteritis is inflammation of the vessels, and affects the aortic arch and its branches.



2. Describe how this disease will show up sonographically.

Michayla: This disease will show intimal thickening along the vessel wall. The inflammation and wall thickening can appear hypoechoic.

Retrieved from Rogers, S. (2005). Sonographic Evaluation of Arteritis. Journal of Diagnostic Medical Sonography, 21:128-134.

Jess 1. Where is the arteritis causing stenosis on this angiogram? Emily: The arteritis is causing stenosis in the Lt CCA, Rt Prox CCA, Prox Rt Subclavian Artery, and occluded Lt Subclavian Artery. 2. Are any vessels occluded? If so, do you see collaterals formed? Emily: The Lt Subclavian Artery is occluded and there are lots of collaterals formed.

A Image obtained from: []
 * Arteritis- Michayla**