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Greenfield filter (IVC filter)
Placed in IVC to prevent the ascension of thrombus into the lungs
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IVC filter –Ultrasound
Location is determined by ultrasound inferior to renal vein, can detect complications: thrombosis around the filter or perforation around the filter or through IVC wall that may be associated with retroperitoneal hematoma.
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True aneurism
Dilation of all three layers of the aorta, most aortic aneurisms are distal, don’t involve renal arteries
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Fusiform aneurysm
Spindle-shaped dilatation
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Saccular aneurism
Localized spherical outpouching of the vessel wall
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False aneurysm (pseudoaneurysms)
Injury to the vessel wall where blood extravasates from vessel, the blood surrounding the vessel is retained and walled off by the surrounding tissues
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False aneurysm can mimic
True aneurisms
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Pseudoaneurysms
Commonly found in groin, resulting from catheters to common femoral artery, during angiographic procedures.
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Dissecting aneurysm
Result of dissection of the intima away from the aortic wall, usually stat in the thoracic aorta
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Dissecting aneurysm type A
Ascending thoracic aorta
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Dissecting aneurysm type B
Starts in origin of the left subclavian artery
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Dissecting aneurysm sonographically
Is seen as a septations dividing the aorta into a true lumen and a false lumen
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Retroperitoneal fibrosis (RPF)
Dense, fibrosis tissue proliferation that is confined to the paravertebral and central abdominal region at the fourth or fifth lumbar vertebra, overlying the aortic bifurcation
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Retroperitoneal fibrosis: sonographically
Smooth-marinated, hypoechoic soft-tissue mass encasing the aorta and IVC
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Diffuse lymphadenopathy of abdomen
Layered or mantle appearance around vessels of the abdomen
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Lymphadenopathy
Visualized anterior and posterior to vessels of the abdomen, creating sandwich sign
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Abdominal aortic aneurysm
1.5 increase of normal diameter
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Arteriosclerosis
- Disease of arterial vessels
- Thickening, hardening, and loss of elasticity of arterial walls
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Atherosclerosis
Irregularity of aortic wall because of plaque formation
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Budd-Charity syndrome
Thrombosis of the hepatic veins
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Cavernous transformation of the portal vein
Periportal collateral channels in patients with chronic portal vein obstruction
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Cystic medial necrosis
Weakening of the arterial wall
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Fusiform aneurism
Circumferential enlargement of a vessel with tapering at both ends
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Marfan’s syndrome
Hereditary disorder of connective tissue, bones, muscles, ligaments and skeletal structures
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Portal venous hypertension
Most commonly results from intrinsic liver disease, also arises from obstruction of the portal vein, hepatic vein, IVC, or prolonged congestive heart failure. Many cause flow reversal to the liver, thrombosis of portal vein system, or cavernous transformation of the portal vein
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Pseudoaneurysm
Pulsatile hematoma that results from leakage of blood into soft tissues abutting the punctured artery with fibrous encapsulation and failure of vessel wall to heal
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Saccular aneurism
Localized dilation of the vessel
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Specular broadening
Increased turbulence is seen within the spectral tracing that indicates flow disturbance
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TIPS
Transjugular intrahepatic portosystemic shunt
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Tunica adventitia
Outer layer of the vascular system, consists of vasa vasorum
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Tunica media
Middle layer of the vascular system, arteries have thicker tunica media than veins
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Tunica intima
Inner layer of the vascular system
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