Diagnosis And Management of Upper Extremity DVT
Diagnosis And Management of Upper Extremity DVT
Strandness Symposium March 3-7, 2019 Maui, Hawaii
Michael T Caps MD MPH Hawaii Permanente Medical Group
Honolulu, Hawaii
No Disclosures
Diagnosis And Management of Upper Extremity DVT
Agenda
? Normal upper ext venous anatomy/physiology ? Problems
? Acute DVT of the upper extremity ? Others: SVT, PTS ? Elements ? Etiology ? Diagnosis ? Prognosis/natural history ? Treatment
Upper Extremity Venous Anatomy
? Superficial veins ? Superficial to the deep fascia (except uppermost cephalic/basilic) ? More variable than the deep veins ? Digital, metacarpal, median, cephalic, basilic
? Deep veins ? Deep to deep fascia ? Accompany arteries ? Usually paired (below axilla) ? Radial, ulnar, brachial, axillary, subclavian, innominate, SVC
Variation In Superficial Veins
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