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Radiology
Chronic Venous Disease and Deep Vein Thrombosis
Built from Fundamentals of Diagnostic Radiology
What’s inside
4 sections · 87 slides
Overview
- Lower extremity venous disease
- Overview of the topic
- Superficial and deep venous compartments
- Deep and superficial venous compartments
- Great and small saphenous veins
- Superficial veins of the lower extremity
- Egyptian eye appearance
- Egyptian eye appearance of the small saphenous vein
- Deep veins of the lower extremity
- Deep vein drainage to the heart
- Deep veins of the lower extremity
- Venous valves
- Deep and superficial veins of the upper extremity
Superficial Venous Disease
Valve reflux, varicose veins, and venous ablation
- Valve failure and reflux
- How valve failure causes varicose veins
- History in superficial venous disease
- Examination findings
- Changes of chronic venous insufficiency
- CEAP and VCSS scoring
- Clinical portion of CEAP classification
- Ultrasound in superficial reflux
- Ultrasound of saphenofemoral reflux and laser filament
- Conservative treatment first
- Goal of treatment
- Thermal ablation
- Endovenous laser ablation of the great saphenous vein
- Ablation procedure
- Why tumescent anesthesia is used
- Newer methods and after-effects
Deep Venous Thrombosis
Virchow triad, postthrombotic syndrome, and catheter-directed treatment
- DVT burden and Virchow triad
- Virchow triad
- Unprovoked DVT
- Common causes of DVT
- Why DVT matters
- Postthrombotic syndrome
- Which DVT predicts PTS
- How obstruction worsens PTS
- 3rd
- DVT risk history
- DVT symptoms and phlegmasia
- Catheter-directed treatment of phlegmasia
- Phlegmasia alba to cerulea dolens
- Bleeding risk before thrombolysis
- Contraindications to catheter-directed thrombolysis
- Three groups for DVT intervention
- Imaging DVT
- Anticoagulation first
- Choosing an anticoagulant
- How long to anticoagulate
- Preventing PTS
- The ATTRACT trial
- Ways to give thrombolytics
- CDT and stent placement for bilateral DVT
- Catheter-directed thrombolysis
- Catheter-directed thrombolysis workflow
- CDT access
- CDT infusion
- Monitoring during CDT
- After clot removal
- CDT limitations
- Mechanical and pharmacomechanical thrombectomy
- Caval thrombus treated with large-bore aspiration
- After any thrombectomy
Chronic Venous Disease
Nonthrombotic obstruction, May-Thurner syndrome, and recanalization
- Causes of chronic venous disease
- Extrinsic compression
- History in chronic venous disease
- Localizing the obstruction
- Villalta scale for PTS
- Imaging chronic venous disease
- Venography in chronic occlusion
- Medical management
- Preparing for recanalization
- May-Thurner syndrome
- May-Thurner syndrome
- Treating May-Thurner
- Chronic venous occlusion
- Recanalization with thrombosis
- IVC filters during recanalization
- Complications and aftercare
- Key takeaways
- Suggested readings
- Suggested readings
- Suggested readings
- Suggested readings
- Suggested readings
- Suggested readings
- Brant and Helms' Fundamentals of Diagnostic Radiology