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The first 25 slides, exactly as they appear. The full deck has 87 content slides.
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