Duplex Ultrasound in the Diagnosis and Treatment of Femoral Pseudoaneurysms

Posterior Tibial Artery Pseudoaneurysm with Arteriovenous Fistula: Impact of Duplex Ultrasound on Diagnosis and Treatment

Journal for Vascular Ultrasound ◽

10.1177/154431671704100106 ◽

2017 ◽

Vol 41 (1) ◽

pp. 31-35

Author(s):

Keith Himes ◽

Amanda Bornais ◽

Emelia Bittenbinder ◽

Judith Cook

Keyword(s):

Treatment Algorithm ◽

Duplex Ultrasound ◽

Posterior Tibial Artery ◽

Diagnosis And Treatment ◽

Treatment Modalities ◽

Artery Pseudoaneurysm ◽

Post Traumatic ◽

Orthopedic Injuries ◽

Venous Fistula

Post traumatic peripheral vascular injuries resulting in pseudoaneurysm (PSA) or arterial venous fistula (AVF) are rarely reported and may occur independently, or less commonly, concomitantly, following lower extremity fractures, penetrating or blunt trauma, and sports-related or orthopedic injuries. 1 Concomitant traumatic PSA and AVF requires accurate imaging and evaluation of hemodynamics for accurate diagnosis and treatment. Modalities for PSA repair include ultrasound-guided occlusion (thrombin injection), endovascular repair (coils, stents), and open surgical procedures (repair, ligation). A coexisting AVF can potentially impact the efficacy and safety of these options. This case demonstrates the important role of duplex ultrasound in the diagnosis and treatment algorithm of traumatic PSA.

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Diagnosis and treatment of chronic venous obstruction: consensus statement of the Russian experts (part 2)

Hirurg (Surgeon) ◽

10.33920/med-15-2004-02 ◽

2020 ◽

pp. 22-55

Author(s):

K.V. Lobastov ◽

D.V. Bondarchuk ◽

D.A. Borsuk ◽

R.A. Bredikhin ◽

O.V. Bukina ◽

...

Keyword(s):

Consensus Statement ◽

Relevant Literature ◽

Clinical Manifestations ◽

Duplex Ultrasound ◽

Diagnosis And Treatment ◽

Ultrasound Scan ◽

Venous Obstruction ◽

Venous Stenting ◽

Chronic Venous Obstruction

This consensus statement of Russian experts is based on a review of the relevant literature on the prevalence, diagnosis, and treatment of non-thrombotic and post-thrombotic venous obstruction, as well as management of patients after venous stenting. In the Part 1 we discussed the clinical manifestations of venous obstruction, the role of duplex ultrasound scan, CT venography, MR venography, direct venography, and intravascular ultrasound scan, as well as typical findings obtained by using these methods. The authors mentioned the functional assessment of venous outflow in healthy subjects and in those with obstruction and changes in them after the intervention. In conclusion, the authors formulated the suggestions for clinical recommendations on the diagnosis of chronic venous obstruction.

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Diagnosis and treatment of chronic venous obstruction: consensus statement of the Russian experts (part 1)

Hirurg (Surgeon) ◽

10.33920/med-15-2003-01 ◽

2020 ◽

pp. 5-37

Author(s):

Kirill Lobastov ◽

Dmitry Bondarchuk ◽

Denis Borsuk ◽

Roman Bredikhin ◽

Oksana Bukina ◽

...

Keyword(s):

Consensus Statement ◽

Relevant Literature ◽

Clinical Manifestations ◽

Duplex Ultrasound ◽

Diagnosis And Treatment ◽

Ultrasound Scan ◽

Venous Obstruction ◽

Venous Stenting ◽

Chronic Venous Obstruction

This consensus statement of Russian experts is based on a review of the relevant literature on the prevalence, diagnosis, and treatment of non-thrombotic and post-thrombotic venous obstruction, as well as management of patients after venous stenting. In the Part 1 we discussed the clinical manifestations of venous obstruction, the role of duplex ultrasound scan, CT venography, MR venography, direct venography, and intravascular ultrasound scan, as well as typical findings obtained by using these methods. The authors mentioned the functional assessment of venous outflow in healthy subjects and in those with obstruction and changes in them after the intervention. In conclusion, the authors formulated the suggestions for clinical recommendations on the diagnosis of chronic venous obstruction.

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Diagnosis and treatment of iliac vein stenosis

Clinical Practice ◽

10.17816/clinpract35238 ◽

2020 ◽

Vol 11 (4) ◽

pp. 64-69

Author(s):

Daniel G. Gitelzon ◽

Alexander G. Faybushevich ◽

Daniel A. Maximkin ◽

Galina I. Veretnik ◽

Vladislav Yu. Baranovich ◽

...

Keyword(s):

Diagnostic Method ◽

Venous Insufficiency ◽

Adult Population ◽

Clinical Manifestations ◽

Duplex Ultrasound ◽

Iliac Vein ◽

Diagnosis And Treatment ◽

Main Method ◽

Left Lower Extremity ◽

Vein Stenosis

Stenosis of the iliac veins is common in patients with chronic venous insufficiency. The article describes the methods for the diagnosis and treatment of iliac vein stenosis. The causes of iliac vein stenosis include extravasal compression or the consequences of ileofemoral thrombosis. Stenosis of the iliac veins exists in 1/4 of the entire adult population, but clinical manifestations do not occur in all patients. Stenosis of the iliac veins should be considered in case of an unknown edema, more often in the left lower extremity, since venous duplex ultrasound of lower extremities is not sensitive and specific enough when examining the veins above the inguinal ligament. The most accurate diagnostic method is intravascular ultrasound (IVUS) but the appeared computed tomography angiography (CTA) and magnetic resonance angiography (MRA) with high-quality images have become a good replacement for IVUS. The main method of treatment of iliac vein stenosis, besides stenting, isindispensable drug therapy consisting of antithrombotic and phlebotonic drugs.

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