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. 2020 Apr 16;8(4):371–395. doi: 10.1177/2050640620916681
GRADE Expert agreement
Recommendation 10
In patients with suspected chronic mesenteric ischaemia, a CTA (≤1 mm acquisition slice thickness, arterial and venous/portal venous phase) should be performed. 1C 91%
Recommendation 11
CE-MRA is the diagnostic test of choice in case of a contraindication for CTA. 1C 87%
Recommendation 12
Duplex ultrasound – when performed by an experienced technician – might be used as a screening method to exclude significant proximal mesenteric artery stenosis. Additional CTA or MRA imaging is required for patients with a positive duplex ultrasound. 2C 78%
Recommendation 13
Angiography should be reserved for therapeutic purposes. 1C 100%
Recommendation 14
CA compression in MALS can be diagnosed by inspiration/expiration duplex ultrasound, CTA or CE-MRA. In patients of younger age, suspected of having MALS, both duplex ultrasound and CE-MRA (≤2 mm slices with 3D reconstructions) in inspiration and expiration are recommended imaging techniques. 1D 74%