Nontraumatic vascular emergencies: imaging and intervention in acute venous occlusion

Haage, Patrick; Krings, Timo; Schmitz‐Rode, Thomas

doi:10.1007/s00330-002-1615-8

Cited by 78 publications

(12 citation statements)

References 85 publications

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“…Pelvic vein occlusion should be suspected in patients with abdominal pain, a unilateral pelvic mass, uterine infection and fever that fails to respond to appropriate treatment [70]. …”

Section: Venous Injurymentioning

confidence: 99%

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Abdominal vascular emergencies: US and CT assessment

et al. 2013

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Acute vascular emergencies can arise from direct traumatic injury to the vessel or be spontaneous (non-traumatic).The vascular injuries can also be divided into two categories: arteial injury and venous injury.Most of them are life-treatening emergencies, sice they may cause an important ipovolemic shock or severe ischemia in their end organ and require prompt diagnosis and treatment.In the different clinical scenarios, the correct diagnostic approach to vascular injuries isn’t firmly established and advantages of one imaging technique over the other are not obvious.Ultrasound (US) is an easy accessible, safe and non-invasive diagnostic modality but Computed Tomography (CT) with multiphasic imaging study is an accurate modality to evaluate the abdominal vascular injuries therefore can be considered the primary imaging modality in vascular emergencies.The aim of this review article is to illustrate the different imaging options for the diagnosis of abdominal vascular emergencies, including traumatic and non traumatic vessel injuries, focusing of US and CT modalities.

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“…Pelvic vein occlusion should be suspected in patients with abdominal pain, a unilateral pelvic mass, uterine infection and fever that fails to respond to appropriate treatment [70]. …”

Section: Venous Injurymentioning

confidence: 99%

“…It is generally a safe procedure and is often indispensable in case of failure of sonography and in the absence of CT or MR facilities [70]. …”

Section: Venous Injurymentioning

confidence: 99%

Abdominal vascular emergencies: US and CT assessment

et al. 2013

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“…Magnetic resonance venogram permits avoidance of radiocontrast in a patient with advanced chronic kidney disease (CKD), where preservation of residual renal function is important (66). This may also be useful in those with radiocontrast allergy.…”

Section: Diagnosismentioning

confidence: 99%

Central Vein Stenosis: A Nephrologist's Perspective

Agarwal

Patel

Haddad

2007

Seminars in Dialysis

227

194

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Central vein stenosis is commonly associated with placement of central venous catheters and devices. Central vein stenosis can jeopardize the future of arteriovenous fistula and arteriovenous graft in the ipsilateral extremity. Occurrence of central vein stenosis in association with indwelling intravascular devices including short-term, small-diameter catheters such as peripherally inserted central catheters, long-term hemodialysis catheters, as well as pacemaker wires, has been recognized for over two decades. Placement of multiple catheters, longer duration, location in subclavian vein, and placement on the left-hand side of neck seem to predispose to the development of central vein stenosis. Endothelial injury with subsequent changes in the vessel wall results in development of microthrombi, smooth muscle proliferation, and central vein stenosis. Central vein stenosis is often asymptomatic in nondialysis patients, but can result in edema of ipsilateral extremity and breast when challenged by increased flow from an arteriovenous fistula or arteriovenous graft. Bilateral central vein stenosis or superior vena cava stenosis can produce a clinical picture of superior vena cava syndrome, associated with engorgement of face and neck. Endovascular interventions are the mainstay of management of central vein stenosis. Percutaneous angioplasty and stent placement for elastic and recurring lesions can restore the functionality of the vascular access, at least temporarily. Frequent or multiple interventions are usually required. In recalcitrant cases, surgical bypass of the obstruction is an option. In resistant cases with severe symptoms, occlusion of the functioning vascular access will usually provide relief of symptoms. Further study of mechanisms of development of central vein stenosis and search for a targeted therapy is likely to lead to better ways of managing central vein stenosis. Prevention of central vein stenosis is the key to avoid access failure and other complications from central vein stenosis and relies upon avoidance of central vein stenosis placement and timely placement of arteriovenous fistula in prospective dialysis patient.

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“…This technique is considered one of the treatment options for acute symptomatic portomesenteric vein thrombosis. 33,34 However, no specific study on its use in patients with In patients with pancreatitis, gastrointestinal bleeding is often caused by regional portal hypertension secondary to splenic vein obstruction, which is different from portal hypertension secondary to liver cirrhosis.…”

Section: Pathophysiology Statement 3: Pancreatitis-related Svt Is Mmentioning

confidence: 99%

Practice guidance for diagnosis and treatment of pancreatitis‐related splanchnic vein thrombosis (Shenyang, 2020)

2020

J of Digest Diseases

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Splanchnic vein thrombosis is a severe complication of pancreatitis. To date, no consensus over the management of pancreatitis‐related splanchnic vein thrombosis has been established. Based on the consensus of multidisciplinary experts, this practice guidance systematically reviewed the epidemiology, anatomy, pathophysiology, risk assessment and clinical presentations of splanchnic vein thrombosis, and formulated a diagnosis and treatment strategy for providing guidance in clinical practice for this disease.

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Nontraumatic vascular emergencies: imaging and intervention in acute venous occlusion

Cited by 78 publications

References 85 publications

Abdominal vascular emergencies: US and CT assessment

Abdominal vascular emergencies: US and CT assessment

Central Vein Stenosis: A Nephrologist's Perspective

Practice guidance for diagnosis and treatment of pancreatitis‐related splanchnic vein thrombosis (Shenyang, 2020)

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