Color Duplex Ultrasound for Diagnosis of Peripheral Artery Aneurysms (Lower and Upper Extremity)

2021 ◽  
pp. 1-13
Author(s):  
Glenn R. Jacobowitz
Keyword(s):  
Upper Extremity ◽  
Duplex Ultrasound ◽  
Peripheral Artery ◽  
Color Duplex Ultrasound

Upper Extremity Phlegmasia Cerula Dolens: Presentation by Color Duplex Ultrasound

2003 ◽  
Vol 27 (1) ◽  
pp. 35-38
Author(s):  
Nancy Tuvell ◽  
Kelly Bates ◽  
Kathryn Sorrell
Keyword(s):  
Upper Extremity ◽  
Duplex Ultrasound ◽  
Open Lung Biopsy ◽  
Vein Thrombosis ◽  
Right Hand ◽  
Superficial Vein Thrombosis ◽  
Doppler Signals ◽  
The Right ◽  
Deep Vein ◽  
Color Duplex Ultrasound

Introduction Phlegmasia cerula dolens (PCD) is an uncommon complication of deep vein thrombosis (DVT), and involvement in the upper extremities is rare. We report a case in which color duplex ultrasound (CDU) was used to diagnose PCD in a patient with extensive upper extremity DVT. Patient A 57-year-old woman underwent an open lung biopsy. On the first postoperative day, she had right hand and forearm pain, edema, and cyanosis. Findings CDU revealedacute DVT in the right radial, ulnar, and brachial veins and extensive thrombosis of the right cephalic and basilic veins. Arterial signals recorded from the ipsilateral arteries were remarkable for pandiastolic flow reversal (PDFR). In contrast, arterial signals from the contralateral arm had a normal, triphasic pattern. Arteriography revealed patent arteries to the wrist and no flow present in the right hand. Conclusions This report demonstrates the sensitivity of CDU to arterial compromise associated with PCD in a case of upper extremity DVT. Vascular technologists should consider including arterial Doppler signals in their venous duplex protocols in cases of extensive deep and superficial vein thrombosis.

Internal valvuloplasty combined with sleeve wrapping in the treatment of severe deep venous incompetence: A case report

Vascular ◽  
2021 ◽  
pp. 170853812199012
Author(s):  
Yingfeng Wu ◽  
Libing Wei ◽  
Xixiang Gao ◽  
Yixia Qi ◽  
Zhu Tong ◽  
...  
Keyword(s):  
Lower Limb ◽  
Venous Insufficiency ◽  
Femoral Vein ◽  
Duplex Ultrasound ◽  
Vein Wall ◽  
Polyester Urethane ◽  
Left Lower Limb ◽  
Deep Vein ◽  
Color Duplex Ultrasound

Background The main cause of severe chronic venous insufficiency is deep venous incompetence. Deep venous reconstructive surgeries are reserved for cases that do not show a good response to conservative therapies. Method We present the case of a 68-year-old man presenting with swelling, pain, and pigmentation in his left lower limb for 14 years and ulcers for 10 years. Descending venography identified a Kistner’s grade IV reflux in the deep vein of the left lower limb. Internal valvuloplasty was performed following Kistner’s method. Meanwhile, external wrapping with a 1-cm-wide polyester-urethane vascular patch was performed to strengthen the vein wall in the venospasm condition. Results Symptoms were immediately relieved postoperatively. Refractory ulcers healed five months after the procedure. At the six-month follow-up, color duplex ultrasound of the deep vein of the left lower limb showed no reflux in the proximal segment of the femoral vein. Conclusion Internal valvuloplasty combined with sleeve wrapping is feasible in the treatment of severe deep venous incompetence with good short-term results.

Intraoperative Color Duplex Ultrasound during Renal Transplantation

2008 ◽  
Vol 29 (06) ◽  
pp. 652-656 ◽  
Author(s):  
C Thalhammer ◽  
M Aschwanden ◽  
D Bilecen ◽  
D Staub ◽  
L Guerke ◽  
...  
Keyword(s):  
Renal Transplantation ◽  
Duplex Ultrasound ◽  
Color Duplex Ultrasound

Designing Lateral Thoracic Wall Perforator Flaps for Breast Reconstruction Using the Ultrasound

2021 ◽  
Author(s):  
Marzia Salgarello ◽  
Giuseppe Visconti
Keyword(s):  
Breast Reconstruction ◽  
Duplex Ultrasound ◽  
Free Flaps ◽  
Thoracic Wall ◽  
Perforator Flaps ◽  
Thoracodorsal Artery ◽  
The Us ◽  
Latissimus Dorsi Myocutaneous Flap ◽  
Artery Perforator ◽  
Color Duplex Ultrasound

Abstract Background Lateral thoracic flaps represent a precious source for partial and total breast reconstruction, in some cases as first option and in other cases as alternative of free flaps. This article describes the ultrasound (US)-based planning of the lateral thoracic wall perforator adipocutaneous flaps and it reports our experience on 52 consecutive flaps. Patients and Methods From November 2018 to May 2021, 52 consecutive lateral thoracic wall perforator flaps were performed using the US-based method for reconstruction of partial breast defects and total breast reconstruction. High-frequency US was performed in all cases prior to surgery to select the best perforator and design the flap. Results Of the 52 cases, 41 were lateral intercostal artery perforator flaps (78.8%), and 11 were thoracodorsal artery perforator (TDAP) flaps. Of the 11 TDAP flaps, 2 cases were based on the direct cutaneous branch. Moreover, in two other cases clinically scheduled for lateral thoracic perforator flaps due to the presence of an appropriate axillary roll, no suitable local/regional perforators were detected with the preoperative US examination and the latissimus dorsi myocutaneous flap was performed. Conclusion Preoperative planning of these flaps using US speeds the surgery and makes it easier and more efficient. Therefore, it is reasonable that the color duplex ultrasound is the operative surgeon's tool for mapping the lateral thoracic wall perforators and to appropriately plan each flap.

Color Duplex Ultrasound in the Assessment of Primary Venous Leg Ulceration

1998 ◽  
Vol 24 (10) ◽  
pp. 1124-1128 ◽  
Author(s):  
TAKASHI YAMAKI ◽  
MOTOHIRO NOZAKI ◽  
KENJI SASAKI
Keyword(s):  
Duplex Ultrasound ◽  
Color Duplex Ultrasound

scholarly journals Clinical experience of upper limb ischemia: a retrospective study

2020 ◽  
Vol 7 (5) ◽  
pp. 1562
Author(s):  
Jitesh Tolia ◽  
Arvind Bhatt
Keyword(s):  
Upper Extremity ◽  
Upper Limb ◽  
Primary Repair ◽  
Balloon Catheter ◽  
Duplex Ultrasound ◽  
Limb Ischemia ◽  
Diagnostic Methods ◽  
Conventional Angiography ◽  
Duration Of Symptoms ◽  
Catheter Directed Thrombolysis

Background: Arterial disorders of the upper extremity are much less common than those of the lower extremity, but when they result in symptoms of acute or chronic ischemia, surgical or endovascular techniques for upper extremity revascularization may be needed. This study presents a review of the epidemiology, aetiology, and clinical characteristics of upper limb ischemia.Methods: The records of 70 patients with upper limb ischemia who underwent treatment from were retrospectively reviewed.Results: A total of 44 patients were diagnosed by CT. Other diagnostic methods and tools used were conventional angiography and duplex ultrasound. Four cases were diagnosed solely on the basis of a medical history and physical examination. A total of 56 surgeries were performed. Rest of the 14 patients went under conservative therapy. The operations included embolectomy and thrombectomy using a Fogarty balloon catheter (n=32), bypass surgery using the great saphenous vein (n=10), percutaneous catheter-directed thrombolysis (n=8), and primary repair (n=4). Patients with Raynaud’s phenomenon or Burger’s disease were either treated with medication only (n=14) or with sympathectomy (n=2).Conclusions: The duration of symptoms in cases of upper limb ischemia may vary from two hours to a year, depending on the aetiology and severity of the illness. Many debates have addressed whether the time gap between the onset of symptoms and treatment predicts long-term arm function.

scholarly journals Accuracy of Color Duplex Ultrasound Diagnosis of Spontaneous Carotid Dissection Causing Ischemia

Stroke ◽  
2006 ◽  
Vol 37 (2) ◽  
pp. 377-381 ◽  
Author(s):  
David H. Benninger ◽  
Dimitri Georgiadis ◽  
Joubin Gandjour ◽  
Ralf W. Baumgartner
Keyword(s):  
Duplex Ultrasound ◽  
Ultrasound Diagnosis ◽  
Carotid Dissection ◽  
Color Duplex Ultrasound

scholarly journals Is There Any Association between PEEP and Upper Extremity DVT?

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Farah Al-Saffar ◽  
Ena Gupta ◽  
Furqan Siddiqi ◽  
Muhammad Faisal ◽  
Lisa M. Jones ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Duplex Ultrasound ◽  
Venous Catheter ◽  
Venous Stasis ◽  
Retrospective Case ◽  
Vein Thrombosis ◽  
Medical Intensive Care ◽  
The Mean ◽  
Deep Vein ◽  
Control Study

Background. We hypothesized that positive end-exploratory pressure (PEEP) may promote venous stasis in the upper extremities and predispose to upper extremity deep vein thrombosis (UEDVT).Methods. We performed a retrospective case control study of medical intensive care unit patients who required mechanical ventilation (MV) for >72 hours and underwent duplex ultrasound of their upper veins for suspected DVT between January 2011 and December 2013.Results. UEDVT was found in 32 (28.5%) of 112 patients. Nineteen (67.8%) had a central venous catheter on the same side. The mean ± SD duration of MV was13.2±9.5days. Average PEEP was7.13±2.97 cm H2O. Average PEEP was ≥10 cm H2O in 23 (20.5%) patients. Congestive heart failure (CHF) significantly increased the odds of UEDVT (OR 4.53, 95% CI 1.13–18.11;P=0.03) whereas longer duration of MV (≥13 vs. <13 days) significantly reduced it (OR 0.29, 95% CI 0.11–0.8;P=0.02). Morbid obesity showed a trend towards significance (OR 3.82, 95% CI 0.95–15.4;P=0.06). Neither PEEP nor any of the other analyzed predictors was associated with UEDVT.Conclusions. There is no association between PEEP and UEDVT. CHF may predispose to UEDVT whereas the risk of UEDVT declines with longer duration of MV.

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