simplebooklet thumbnail

of 0
Chapter 8. Venous Imaging of Upper Extremities  Techniques In Noninvasive Vascular Diagnosis-4th edition  From   Technique...
Definitions for this chapter       Erythemia      local redness       Angioplasty      Vessel stenosis dilation with a sal...
Definitions for this chapter           IAC-IntersocietalAccreditation Commission  formerly ICAVL  Rouleaux      Blood cell...
Venous Symptoms                          Pain and swelling in arm or neck SOB, Chest pain,   Pulmonary embolus Dilated sup...
Upper DVT  Etiology      Intimal injury     indwelling venous catheter     pacemaker wire     stents  From   Techniques  i...
Upper DVT  Etiology      Stasis     thoracic outlet compression or effort induced     compression by mass      Other     r...
Deep Veins                               Radial, UlnarInterosseous Brachial Axillary  Superficialveins               Cepha...
Subclavian v  deep  Axillary v  deep   Cephalic v  super   Basilic v  super  Brachial v  deep   Median cubital v  super   ...
Median cubital v  Basilic v Cephalicv  Ulnar v  radial  Radial v  Forearm  From   Techniques  in  Noninvasive  Vascular  D...
EJV  IJV  Anterior jug v  Subclavian v  Axillary v Cephalic v  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4 ...
Other  Central  Veins                           External jugular Anterior jugular Jugular arch vein Transverse scapular In...
IJV  AJV  EJV  Subcl v  Innominate v  Subclavianv  SVC  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed...
Exam Protocol       TIPS      Orientation- hand to screen RIGHT     Proximal veins     Doppler priority     Shoulder abduc...
Normal Upper Venous Flow           respiratoryphasicity cardiacpulsatility  From   Techniques  in  Noninvasive  Vascular  ...
Assess Internal Jugular Vein Follow IJV to subclavian vein confluence  Transverse view of IJV, scan proximally to Subclavi...
Carefully image for IJV Thrombus  IJV thrombus longitudinal  IJV CCA  IJV thrombus transverse From   Techniques  in  Nonin...
Thrombus in IJV  If the movie does not play, Click on Link  inPowerpointShow  To playYoutubevideo  http   youtu.be gSoZLC8...
Caution        Reverberation artifact and   Rouleaux    blood cell clumping  are commonly seen in the jugular vein.  If th...
Supraclavicular Scan Position  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  Summer  Publishing,  L...
Subclavian Vein Assessment  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  Summer  Publishing,  LLC,...
Normal Innominate Vein Flow  Proximal subclavian vein flow will looks similar  From   Techniques  in  Noninvasive  Vascula...
InfraclavicularSubclavian Vein  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  Summer  Publishing,  ...
InfraclavicularSection  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  Summer  Publishing,  LLC,  Co...
Axillary Vein  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  Summer  Publishing,  LLC,  Copyright  ...
Abduct arm to alleviate transient axillary vein compression  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  t...
Axillary Vein. Rely on Waveform Morphology  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  Summer  P...
Contralateral Assessment      Because subclavian waveform assessment is critical, it is important    required by IAC  that...
Arm Veins       Use compression- release method       Pulsatile- phasic flow may be absent       Very superficial veins ne...
Mid-upper Arm Transverse  brachial v  brachial a.  basilic vein  brachial v  At mid-arm the basilic vein lays away from th...
Proximal Upper Arm Transverse  basilicvein brachial v  brachial a.  brachial v  In the axilla or proximal arm, the basilic...
Often the deep brachial veins are seen as well.  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  Summ...
Cephalic veins are small and hard to image, unless, of course, you   re a ex-governor.  From   Techniques  in  Noninvasive...
Forearm Veins  scan these under the following conditions, otherwise, skip.       Local, palpable cord  suspicion of superf...
Forearm Veins  scan theses under the following conditions, otherwise, skip.       Pre-op assessment for hemodialysis acces...
Criteria For Venous Thrombosis Upper Extremities                   Visualization of thrombus Lack of veincoaptation No flo...
BasilicVein Thrombus  Basilic Vein  Brachial artery  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  ...
Paget -SchroetterSyndrome                   Spontaneous thrombosis of subclavian - axillary vein Effort induced Anatomical...
Paget -SchroetterSyndrome               Patient  Van W. 38 yr old body builder left arm swelling x 3 weeks  Thrombosed axi...
Paget-Schroetter            Most likely  Notice the dilated superficial veins of the right shoulder, i.e, collateral pathw...
         Precursor to Paget-Schroetter syndrome    Extensive collateral development in the presence of SCV compression.   ...
Superior Vena Cava Syndrome               Occlusion or compression of SVC Increased venous pressure Edema of neck, face an...
SVC Syndrome Patient with constrictive   web   in SVC Pre-angioplasty  Post - stent placement  SVC SVC with stent  From   ...
Patient  Case 1               28 year old female Awoke w  Lt arm pain   swelling History  Hx  venous thrombosis right arm ...
Case 1  Subclavian and axillary vein distal to clavicle  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  E...
Case 1  Thrombosis extended tobasilic-brachial confluence  Axillary Vein  From   Techniques  in  Noninvasive  Vascular  Di...
Case 1  Transverse, distal to clavicle  Artery  Subclavian vein  From   Techniques  in  Noninvasive  Vascular  Diagnosis  ...
Case 1  Proximal End of Thrombus  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  Summer  Publishing,...
Case 1  Prox. Subclavian Vein Thrombosis EJV  thrombosed subclavian vein  From   Techniques  in  Noninvasive  Vascular  Di...
Case 1  Potential Pitfall  In the presence of subclavian thrombosis the external jugular vein carries a lot of flow, is la...
Case 1  External Jugular Vein  External Jugular Vein  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed. ...
Case 1  Left innominate vein  IJV  Both Normal.  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  Summ...
Case 1. Study Summary                       Lt. arm acute venous thrombosis Extended from proximal SCV to distal axillary ...
Case   2               Patient presents with left arm swelling History of shoulder fracture No known HX of DVT.  From   Te...
Case 2  Left distal subclavian vein  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  Summer  Publishi...
Case 2  Right distal subclavian vein  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  Summer  Publish...
Case 2  IJV and subclavian vein confluence  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  Summer  P...
Case 2  Retrograde flow left IJV  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  Summer  Publishing,...
Case 2  Left IJV retro flow - thyroid collaterals IJV  Thyroid  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4...
Case 2  Retrograde anterior jugular vein flow  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed.  Summer...
IJV  Case 2  EJV AJV  Collateral pathways - left arm  From   Techniques  in  Noninvasive  Vascular  Diagnosis  4  th  Ed. ...
Extensive collateralization occurs in the upper extremity, venous return from the left arm in this patient is via anterior...
Case  2. Summary       Thrombosis of left innominate vein       Venous inflow in arm supported by collateralization involv...
Catheter-induced Thrombosis  Images courtesy of Wayne Leonhardt, RDMS, RVT  From   Techniques  in  Noninvasive  Vascular  ...
UPPER EXTREMITY VENOUS INTERPRETATION  Normal.  1.  All veins central to the axillary vein, including the IJV, demonstrate...
UPPER EXTREMITY VENOUS INTERPRETATION  Normal.  4.  Subclavian vein flows are symmetrical with the contralateral venous se...
UPPER EXTREMITY VENOUS INTERPRETATION  Abnormal.  1.  Visualization of thrombus  2.  The presence of echogenic material wi...
UPPER EXTREMITY VENOUS INTERPRETATION  Abnormal.  4.  Persistent retrograde flow in the IJV or EJV suggests obstruction in...