UEV Anatomy
What is the largest vein in the arm?
Basilic vein
T/F? Thrombus in the superficial system is usually larger than in the deep system.
FALSE
T/F? Superficial veins are affected more in legs than in arms.
FALSE, they are affected more in arms than in legs.
Thrombus becomes more ____ with age.
Echogenic
Compression of veins should be performed every ____ and should be performed in a _____ plane.
2-3 cm; transverse
T/F? UEV anatomy is more variable than LEV anatomy.
TRUE
What are the superficial veins responsible for?
What is the most common cause of upper extremity thrombosis from Virchow's triad?
Vessel wall injury due to more frequent introduction of needles and catheters into arm veins.
T/F? Chronic thrombus is lightly echogenic or hypoechoic; poorly attached to the vessel wall; has spongy texture.
FALSE, this is describing acute thrombus.
What connects superficial veins to deep veins and has a role to keep blood from spending too much time near skin surface?
Perforator veins
What vein connects the cephalic and basilic veins?
The median cubital vein
The CFV is formed by the junction of what two veins?
The femoral vein and profunda vein
Is it possible for thrombus from the arm to extend upwards?
Yes, this is why veins in the neck should also be routinely evaluated.
In a thrombosed vein, there will be ____ color flow & spectral waveforms.
an absence of OR no
List Virchow's triad
1. Venous stasis
2. Hypercoagulability
3. Vessel wall injury
T/F? The basilic vein is considered a deep vein.
FALSE, it is considered a superficial vein.
The posterior tibial and peroneal veins form the ...
Tibioperoneal trunk
Venous thrombosis associated with compression of the subclavian vein at the thoracic outlet is
Paget-Shroetter Syndrome
Extensive iliofemoral DVT that causes marked swelling of LE
Phlegmasia Alba Dolens aka "milk leg" or "white leg"
Which is NOT a deep vein?
A. Brachial veins
B. Radial veins
C. Axillary vein
D. Cephalic vein
D. Cephalic vein is superficial
The basilic vein terminates at the level of the _____ vein.
Axillary
The femoral vein becomes the popliteal vein distal to what?
The Adductor canal
Facial swelling or dilated chest collaterals are suggestive of
Superior vena cava thrombosis
Disorder that causes cyanosis of limb and may result in arterial insufficiency and venous gangrene.
Phlegmasia Cerulea Dolens (extension of Phlegmasia Alba Dolens)
Describe May-Thurner syndrome
Left common iliac vein compression (and potentially thrombosis) by right common iliac artery