Upper Extremity Venous Evaluation

Upper Extremity Venous Evaluation

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Course Overview

This guide provides a comprehensive overview of upper extremity venous evaluation, focusing on the diagnosis and management of deep vein thrombosis (DVT). It explores the anatomy of the upper extremity veins, the impact of deep vein thrombosis on pulmonary embolism risk, and the pathophysiology of thrombophlebitis. The guide also covers common diagnostic criteria such as compressibility and blood flow evaluation, highlighting the role of Doppler ultrasound in detecting thrombosis, including catheter-related thrombosis and Paget-Schroetter syndrome. With detailed visual examples and diagnostic strategies, this resource is invaluable for healthcare professionals in assessing venous health in the upper extremities.

Objectives

After completing this activity, the participant will:

  • describe the deep system of the upper extremity veins

  • describe 4 types of upper extremity vein thrombosis

  • discuss the pathophysiology of deep venous thrombosis and pulmonary embolism

  • discuss the diagnostic criteria of upper extremity deep vein thrombosis

Target Audience

  • Physicians, sonographers, and others who perform and/or interpret ultrasound.

Faculty & Disclosure

Faculty

Joseph F. Polak, MD, MPH

Director of Cardiovascular Imaging

New England Medical Center

Boston, MA

with assistance from:

Jean M. Alessi-Chinetti, RVT, RDMS

Director of the Ultrasound Reading Center

Tufts Medical Center

Boston MA

Disclosure

In compliance with the Essentials and Standards of the ACCME, the author of this CME tutorial is required to disclose any significant financial or other relationships they may have with commercial interests. Dr. Joseph F. Polak and Jean M. Alessi-Chinetti, RVT, RDMS discloses no financial interests with commercial interests. No one at IAME who had control over the planning or content of this activity has relationships with commercial interests.

In compliance with the Essentials and Standards of the ACCME, the author of this CME tutorial is required to disclose any significant financial or other relationships they may have with commercial interests.

IAME has assessed conflict of interest with its faculty, authors, editors, and any individuals who were in a position to control the content of this CME activity. Any identified relevant conflicts of interest have been mitigated. IAME's planners, content reviewers, and editorial staff disclose no relationships with ineligible entities.

Credits

1
AMA PRA Category 1™ Credits

* AMA PRA Category 1™ credits are used by physicians and other groups like PAs and certain nurses. Category 1 credits are accepted by the ARDMS, CCI, ACCME, and Sonography Canada.

Course Details

Duration1 hour
ReleasedJun 30, 2005
Last ReviewDec 9, 2024
ExpiresDec 8, 2027

Accreditation

The Institute for Advanced Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Institute for Advanced Medical Education designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Sonographers: These credits are accepted by the American Registry for Diagnostic Medical Sonography (ARDMS), Sonography Canada, Cardiovascular Credentialing International (CCI), and most other organizations.

Course Content