Arteriovenous nicking

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AV nicking
Hypertensiveretinopathy.jpg
Hypertensive retinopathy with AV nicking and mild vascular tortuosity
Synonyms AV nicking
Test of Retina

Arteriovenous nicking, also known as AV nicking, is the phenomenon where, on examination of the eye, a small artery (arteriole) is seen crossing a small vein (venule), which results in the compression of the vein with bulging on either side of the crossing. This is most commonly seen in eye disease caused by high blood pressure (hypertensive retinopathy).

It is thought that, since the arteriole and venule share a common sheath, the arteriole's thicker walls push against those of the venule forcing the venule to collapse. This makes the venule form an hourglass shape around the arteriole. Other theories suggest that this results not from compression from the arteriole but from sclerotic thickening or glial cell proliferation at the site where the two vessels cross.

Signs:

  1. Gunn's sign - Tapering of veins
  2. Bonnet sign- Banking of veins
  3. Salus sign - Deflection of veins [1]

Related Research Articles

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<span class="mw-page-title-main">Blood vessel</span> Tubular structure of circulatory system

Blood vessels are the structures of the circulatory system that transport blood throughout the human body. These vessels transport blood cells, nutrients, and oxygen to the tissues of the body. They also take waste and carbon dioxide away from the tissues. Blood vessels are needed to sustain life, because all of the body's tissues rely on their functionality.

<span class="mw-page-title-main">Vein</span> Blood vessels that carry blood towards the heart

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<span class="mw-page-title-main">Capillary</span> Smallest type of blood vessel

A capillary is a small blood vessel, from 5 to 10 micrometres in diameter, and is part of the microcirculation system. Capillaries are microvessels and the smallest blood vessels in the body. They are composed of only the tunica intima, consisting of a thin wall of simple squamous endothelial cells. They are the site of the exchange of many substances from the surrounding interstitial fluid, and they convey blood from the smallest branches of the arteries (arterioles) to those of the veins (venules). Other substances which cross capillaries include water, oxygen, carbon dioxide, urea, glucose, uric acid, lactic acid and creatinine. Lymph capillaries connect with larger lymph vessels to drain lymphatic fluid collected in microcirculation.

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<span class="mw-page-title-main">Venule</span> Very small blood vessel in the microcirculation

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<span class="mw-page-title-main">Renal circulation</span>

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<span class="mw-page-title-main">Vasa recta (kidney)</span> Anatomical structure of the kidney

The vasa recta of the kidney, are the straight arterioles, and the straight venules of the kidney, – a series of blood vessels in the blood supply of the kidney that enter the medulla as the straight arterioles, and leave the medulla to ascend to the cortex as the straight venules.. They lie parallel to the loop of Henle.

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<span class="mw-page-title-main">Central retinal vein</span> Vein in the retina of the eye

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Salus's sign is a clinical sign in which deflection of retinal venules can be seen on fundoscopy occurring in patients with hypertensive retinopathy. Arteriosclerosis causes shortening or lengthening of arterioles, which causes venules to be moved at points where arterioles and venules cross over. This is seen at right-angle crossing points, where the venule crosses the arteriole in a horseshoe shape.

<span class="mw-page-title-main">Internal elastic lamina</span> Layer of elastic tissue in blood vessels

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References

  1. "Medscape: Medscape Access". Emedicine.com. Retrieved 2013-01-12.