The role of Doppler ultrasonography in the detection and management of nutcracker syndrome.

IF 2.4 3区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Ultrasonography Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI:10.14366/usg.24168
Seung Hyup Kim
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Abstract

Nutcracker syndrome is caused by the compression of the left renal vein between the abdominal aorta and the superior mesenteric artery. The use of Doppler ultrasonography to diagnose this condition is challenging due to the dynamic nature of the nutcracker phenomenon and the variability of its symptoms, which can fluctuate with changes in patient posture and respiration. This review emphasizes the critical role of Doppler ultrasonography in identifying and managing nutcracker syndrome. It also explores the various subtypes of the nutcracker phenomenon and discusses how Doppler ultrasonography can improve patient outcomes by enabling management strategies that are informed by dynamic assessments of left renal vein compression.

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多普勒超声在胡桃钳综合征的诊断和治疗中的作用。
胡桃夹子综合征是由腹主动脉和肠系膜上动脉之间的左肾静脉压迫引起的。使用多普勒超声诊断这种情况具有挑战性,因为胡桃夹现象的动态性及其症状的可变性,可以随着患者姿势和呼吸的变化而波动。本综述强调多普勒超声在鉴别和治疗胡桃夹子综合征中的重要作用。它还探讨了胡桃夹子现象的各种亚型,并讨论了多普勒超声如何通过动态评估左肾静脉压迫来实现管理策略,从而改善患者的预后。
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来源期刊
Ultrasonography
Ultrasonography Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
5.10
自引率
6.50%
发文量
78
审稿时长
15 weeks
期刊介绍: Ultrasonography, the official English-language journal of the Korean Society of Ultrasound in Medicine (KSUM), is an international peer-reviewed academic journal dedicated to practice, research, technology, and education dealing with medical ultrasound. It is renamed from the Journal of Korean Society of Ultrasound in Medicine in January 2014, and published four times per year: January 1, April 1, July 1, and October 1. Original articles, technical notes, topical reviews, perspectives, pictorial essays, and timely editorial materials are published in Ultrasonography covering state-of-the-art content. Ultrasonography aims to provide updated information on new diagnostic concepts and technical developments, including experimental animal studies using new equipment in addition to well-designed reviews of contemporary issues in patient care. Along with running KSUM Open, the annual international congress of KSUM, Ultrasonography also serves as a medium for cooperation among physicians and specialists from around the world who are focusing on various ultrasound technology and disease problems and relevant basic science.
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