Vascular imaging in the elderly

Sanjeeva P Kalva1, Peter R Mueller

  • 1Division of Cardiovascular Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA. skalva@partners.org

Insights

Atherosclerosis is the most common vascular disorder in the elderly, with imaging crucial for diagnosis. This review focuses on imaging findings of atherosclerosis and other vascular conditions in older adults.

Area of Science:

  • Vascular Medicine
  • Geriatric Medicine
  • Radiology

Background:

  • Vascular conditions are highly prevalent in the elderly population.
  • Atherosclerosis is the most common vascular disorder, followed by venous thromboembolism and varicose veins.
  • Accurate imaging is essential for diagnosing and managing these conditions in older adults.

Purpose of the Study:

  • To review the imaging characteristics of atherosclerosis in various vascular territories, with a focus on the elderly.
  • To discuss the imaging findings of other significant vascular conditions in the elderly, including segmental arterial mediolysis, giant cell arteritis, and venous thromboembolism.

Main Methods:

  • Literature review of imaging modalities and findings for vascular diseases in the elderly.
  • Synthesis of current knowledge on the presentation of atherosclerosis, segmental arterial mediolysis, giant cell arteritis, and venous thromboembolism on imaging.
  • Emphasis on age-specific considerations in vascular imaging interpretation.

Main Results:

  • Atherosclerosis imaging in the elderly reveals characteristic findings across different arterial beds.
  • Imaging features of segmental arterial mediolysis, giant cell arteritis, and venous thromboembolism are detailed.
  • The review highlights the importance of tailored imaging approaches for geriatric vascular patients.

Conclusions:

  • Imaging plays a pivotal role in the diagnosis and management of common and rare vascular disorders in the elderly.
  • Understanding specific imaging findings is crucial for effective patient care and treatment strategies.
  • Further research may focus on advanced imaging techniques for early detection and characterization of vascular diseases in aging populations.

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