SUMMARY
In this review, we have shown how the US assessment of multiple arterial
beds offers a promising perspective in clinical practice. The results of
these studies highlight the benefits of peripheral artery testing when
CAD is suspected. The location and size of the coronary arteries make
imaging them more challenging compared to the more superficial carotid
and femoral arteries. The analysis of the renal arteries, abdominal
aorta, and iliac arteries, although more difficult to assess, may be a
good alternative to other non-invasive imaging studies with risks
associated with exposure to ionizing radiation and administration of
contrast.
These findings highlight the benefits of US examination, especially of
carotid and femoral arteries whenever CAD is suspected and precisely CV
risk assessments are needed. Detecting asymptomatic atherosclerotic
plaques can aid in prevention and treatment strategies. An excellent
illustration of this is the study by Dodge et al. demonstrated that
routine abdominal aortic screening during echocardiography can enhance
statin prophylaxis in patients with asymptomatic atherosclerosis, at no
extra expense, and detect some AAAs. 93.
A standardized and well-proven US method is necessary for the safe,
accurate, and efficient assessment of atherosclerosis severity to be
incorporated into guidelines.