Venous Doppler Lower limb Dr Mukesh Tilgam

Venous Doppler Lower limb Dr Mukesh Tilgam

1. Lower limb venous doppler Presented By – Dr Mukesh Tilgam Resident PG-II(MD) LNMC & JKH Bhopal Moderated By- Dr Rakesh Mishra Professor Deptt of Radiodiagnosis LNMC & JKH Bhopal

2. Five top technical t ips Know the anatomy Know a s m uc h a s possib l e a patien t history Become com f or t abl e wit h cen t ral vein evaluation Watch for col l ate r a l veins Focus o n Dopple r wavefo r ms an d sym m et r y betwee n the l i mbs Venou s Duplex Doppler

3. V eins of Lower Li m b G reater Saphen o us V ein Small Saphen o us V ein Fe m oral V ein Pro f u n da Fe m oris V ein Popli t eal V ein Pe r o n eal V ein A n t er i or & Pos t erior T ibial V ein

4. G r e a t saph e nous v e i n origina t es f r om t h e med i al side of t h e dorsa l v e nous a r ch, and t h en as c ends up t h e med i al side of t h e le g , kne e , and t h i g h t o c onnect wi th t h e f emo r al v e i n ju s t in f erior t o t h e ing u inal ligam e nt Small saph e nous v e i n origina t es f r om t h e la t e r al side of t h e dorsa l v enous a r ch, as c ends up t h e pos t erior surfa c e of t h e le g , and t h en pene t r a t es de ep fascia t o join t h e popli t eal v e i n pos t erior t o t h e kne e ; p r o ximal t o t h e kne e , t h e pop l i t e a l v e i n b e c omes t h e f emo r al v e i n.

5. Ve n o u s d r a inage of f o ot

6. COMMON Doppler technique / FINDINGS

7. Doppler US Technique in LL

8. A c ondition i n w hich a blo o d clo t f orms i n one or mo r e of the de e p v eins of the b o d y , us ual l y the leg s . Ca n de v elop i f one is si t tin g sti l l f or a long time, such as w hen t r av el lin g b y p l ane or i f one has a m e di c al c ondition af f e c tin g the norma l clo t tin g of blood. Serious c ondition - be c ause blood clo t that f ormed i n the v ein c a n t r av el th r ou g h the blood st r eam an d lod g e i n the lung s , bloc k in g blood f l o w ( P ulmona r y E mbolism )

9. Varicose vein

10. V aricos e veins Norm a l flo w of b l ood i n th e venou s syste depend s upon th e pre s enc e of co m petent valves , whi c h preve n t ref l u x . Ve n ous retur n i s supplemented wit h contracti o n of th e mu s cles i n th e lower li m b , whi c h pump th e b l ood tow a r d th e hear t . When v enou s v alves become in c o m petent the y ten d t o place extr a pres s ure on m o r e di s ta l valves , whi c h m a y also become in c o m petent . This condition p r o d u c e s dilat e d tortuo u s supe r f i c ial vein s (v a ricos e veins ) i n th e di s tributio n of t h e great (long ) and s m all (short ) s a phe n ous ve n ous syste m s. Som e indivi d uals have a gene ti c predi spo s itio n to developin g varicos e vei n s. m

11. Patients Position Lying down Sitting Standing

12. THANK YOU