Document Detail


Complications Following Vascular Procedures in the Upper Extremities: A Sonographic Pictorial Review.
MedLine Citation:
PMID:  23358215     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ABSTRACT: The arteries of the upper extremities are increasingly utilized to gain access for angiography, percutaneous coronary interventions, endovascular therapy, and continuous hemodynamic monitoring. Hence, complications after upper-extremity arterial interventions are increasing in incidence. Similarly, the incidence of upper-extremity deep venous thrombosis is increasing as venous access is increasingly achieved with upper-extremity central line placement. Knowledge of the sonographic appearance of these complications is essential as ultrasound is often the only imaging modality used in the evaluation of suspected vascular injury. This pictorial review demonstrates the spectrum of complications observed following vascular procedures in the upper extremities, including thrombosis, hematoma, pseudoaneurysm, arteriovenous fistula, and arterial dissection. Gray-scale, color, and pulsed Doppler imaging findings are described, and pertinent management issues, including endovascular and surgical therapies, are briefly discussed.
Authors:
John D Millet; Gowthaman Gunabushanam; Vijayanadh Ojili; Deborah J Rubens; Leslie M Scoutt
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-25
Journal Detail:
Title:  Ultrasound quarterly     Volume:  -     ISSN:  1536-0253     ISO Abbreviation:  Ultrasound Q     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8809459     Medline TA:  Ultrasound Q     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
*Department of Diagnostic Radiology, Yale University School of Medicine, New Haven, CT;†Department of Radiology, VA Medical Center, West Haven, CT; ‡Department of Radiology, University of Texas Health Science Center, San Antonio, TX; and §Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY.
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