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Related Concept Videos

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
Veins of Upper Limbs01:17

Veins of Upper Limbs

The human circulatory system, a marvel of biological engineering, is a complex network of vessels that transport blood throughout the body. Among these, the veins responsible for carrying blood from the upper limbs are divided into two categories: deep and superficial.
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
Pulmonary Embolism I: Introduction01:19

Pulmonary Embolism I: Introduction

A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...

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Updated: May 22, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
06:45

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Published on: February 10, 2023

Upper extremity deep vein thrombosis.

Sanjith Saseedharan1, Sunil Bhargava

  • 1Department of Critical Care, Sevenhills Hospital, Andheri, Mumbai, Maharashtra, India.

International Journal of Critical Illness and Injury Science
|May 25, 2012
PubMed
Summary

A case study highlights central vein thrombosis in a hemodialysis patient, successfully treated with thrombolysis and venoplasty. This emphasizes the need for further research into upper extremity deep vein thrombosis (UEDVT) diagnostics and treatments.

Keywords:
AV fistulacatheter thrombolysisunilateral upper limb edemaupper extremity deep vein thrombosis

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A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
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A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis

Published on: June 2, 2015

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Last Updated: May 22, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
06:45

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Published on: February 10, 2023

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
10:26

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis

Published on: June 2, 2015

Area of Science:

  • Vascular Surgery
  • Nephrology
  • Interventional Radiology

Background:

  • A 56-year-old female with chronic kidney disease (CKD) on hemodialysis presented with complications from dialysis access.
  • Previous attempts at creating functional dialysis access, including an AV fistula and jugular catheters, were unsuccessful or complicated.

Purpose of the Study:

  • To report a complex case of central vein thrombosis secondary to dialysis access.
  • To review the current literature on upper extremity deep vein thrombosis (UEDVT), including incidence, diagnosis, and treatment.

Main Methods:

  • A patient case presentation detailing the diagnostic and therapeutic journey.
  • Literature review of MEDLINE, MICROMEDEX, and Cochrane databases (1950-2011) for UEDVT.

Main Results:

  • The patient developed severe left upper extremity edema and symptoms suggestive of vascular compromise.
  • Initial diagnosis pointed to AV fistula steal phenomenon, but CT angiogram revealed central vein thrombosis.
  • Catheter-directed thrombolysis and venoplasty successfully resolved the central vein thrombosis and associated symptoms.

Conclusions:

  • Central vein thrombosis is a serious complication of dialysis access that requires prompt diagnosis and intervention.
  • Effective management of UEDVT, though less studied than lower extremity DVT, is crucial for patient outcomes.
  • Further research is needed to improve diagnostic and therapeutic strategies for UEDVT in dialysis patients.