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.