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Venous Duplex Ultrasound of the Upper Extremities

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Noninvasive Vascular Diagnosis

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Abstract

Upper extremity imaging is increasing. The number of DVTs on upper extremity imaging has increased with the use of PIC lines. Secondary DVTs are more common than primary DVTs involving the upper extremity. UEDVT may be the source of PE, some of which may be fatal. Anatomic variations are very common in the venous system. Duplicate venous symptoms, lack of technological expertise, median nerve in transverse view, incorrect gain settings, patient positioning, and incorrect probe pressure or selection may all result in artifacts. Patients with UEDVTs are younger, leaner, and presented with edema more commonly than LE DVT patients. UEDVTs should not be considered a benign event. Optimal treatment goals involve prevention of propagation and to reduce the risk of secondary events. Maintenance of venous patency is mandatory. Multimodal therapy is increasing in use, and treatment of UE is evolving.

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Acknowledgments

I would like to acknowledge Theresa James, Feliks Bankin, Angela N Fellner, PhD, and the Good Samaritan Hospital Library staff for their assistance in preparation of this chapter.

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Authors and Affiliations

  1. Department of Vascular Surgery, Good Samaritan Outpatient Center, Cincinnati, OH, USA

    Joann M. Lohr

  2. Quality Vascular Imaging, Inc., Venice, FL, USA

    Jean M. White-Melendez

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Correspondence to Joann M. Lohr .

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Editors and Affiliations

  1. Department of Surgery Division of Vascular/Endovascular Surgery, West Virginia University – Charleston Division, Charleston, WV, USA

    Ali F. AbuRahma

  2. Department of Surgery, Division of Vascular Surgery and Endovascular Therapy The John Hopkins University School of Medicine, Baltimore, MD, USA

    Bruce A. Perler

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  1. Department of Surgery, Division of Vascular/Endovascular Surgery, West Virginia University - Charleston Division, Charleston, WV, USA

    Ali F. AbuRahma

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Lohr, J.M., White-Melendez, J.M. (2022). Venous Duplex Ultrasound of the Upper Extremities. In: AbuRahma, A.F., Perler, B.A. (eds) Noninvasive Vascular Diagnosis. Springer, Cham. https://doi.org/10.1007/978-3-030-60626-8_42

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