Peripheral vascular system

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Image of a wrist with peripheral veins visible Image of a wrist with blue veins visible.JPG
Image of a wrist with peripheral veins visible

The peripheral vascular system is the part of the circulatory system that consists of the veins and arteries not in the chest or abdomen (i.e. in the arms, hands, legs and feet). [1] [2] The peripheral arteries supply oxygenated blood to the body, and the peripheral veins lead deoxygenated blood from the capillaries in the extremities back to the heart. [3]

Peripheral veins are the most common intravenous access method in both hospitals and paramedic services for a peripheral intravenous (IV) line for intravenous therapy. [4] [5] [6]

In some cases blockages in the peripheral arteries may be treated with catheterization and balloon dilatation instead of surgery. [7] [8]

See also

Related Research Articles

Arteriovenous malformation Vascular anomaly

Arteriovenous malformation is an abnormal connection between arteries and veins, bypassing the capillary system. This vascular anomaly is widely known because of its occurrence in the central nervous system, but can appear in any location. Although many AVMs are asymptomatic, they can cause intense pain or bleeding or lead to other serious medical problems.

Vein blood vessels that carry deoxygenated blood towards the heart (pulmonary vein is a exception)

Veins are blood vessels that carry blood towards the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are the pulmonary and umbilical veins, both of which carry oxygenated blood to the heart. In contrast to veins, arteries carry blood away from the heart.

Circulatory system Organ system for circulating blood in animals

The circulatory system, also called the cardiovascular system or the vascular system, is an organ system that permits blood to circulate and transport nutrients, oxygen, carbon dioxide, hormones, and blood cells to and from the cells in the body to provide nourishment and help in fighting diseases, stabilize temperature and pH, and maintain homeostasis.

Angioplasty minimally invasive, endovascular procedure to widen narrowed or obstructed arteries or veins, typically to treat arterial atherosclerosis.

Angioplasty, also known as balloon angioplasty and percutaneous transluminal angioplasty (PTA), is a minimally invasive endovascular procedure used to widen narrowed or obstructed arteries or veins, typically to treat arterial atherosclerosis. A deflated balloon attached to a catheter is passed over a guide-wire into the narrowed vessel and then inflated to a fixed size. The balloon forces expansion of the blood vessel and the surrounding muscular wall, allowing an improved blood flow. A stent may be inserted at the time of ballooning to ensure the vessel remains open, and the balloon is then deflated and withdrawn. Angioplasty has come to include all manner of vascular interventions that are typically performed percutaneously.

Central venous catheter Catheter placed into a large vein

A central venous catheter (CVC), also known as a central line, central venous line, or central venous access catheter, is a catheter placed into a large vein. It is a form of venous access. Placement of larger catheters in more centrally located veins is often needed in critically ill patients, or in those requiring prolonged intravenous therapies, for more reliable vascular access. These catheters are commonly placed in veins in the neck, chest, groin, or through veins in the arms.

Intravenous therapy (IV) is therapy that delivers fluids directly into a vein. The intravenous route of administration can be used both for injections, using a syringe at higher pressures; as well as for infusions, typically using only the pressure supplied by gravity. Intravenous infusions are commonly referred to as drips.

Great saphenous vein large, subcutaneous, superficial vein of the leg

The great saphenous vein is a large, subcutaneous, superficial vein of the leg. It is the longest vein in the body, running along the length of the lower limb, returning blood from the foot, leg and thigh to the deep femoral vein at the femoral triangle.

Angiography medical imaging technique

Angiography or arteriography is a medical imaging technique used to visualize the inside, or lumen, of blood vessels and organs of the body, with particular interest in the arteries, veins, and the heart chambers. This is traditionally done by injecting a radio-opaque contrast agent into the blood vessel and imaging using X-ray based techniques such as fluoroscopy.

Interventional radiology medical specialty which provides minimally invasive image-guided diagnosis and treatment of disease

Interventional radiology (IR) is a medical subspecialty that performs various minimally-invasive procedures using medical imaging guidance, such as x-ray fluoroscopy, computed tomography, magnetic resonance imaging, or ultrasound. IR performs both diagnostic and therapeutic procedures through very small incisions or body orifices. Diagnostic IR procedures are those intended to help make a diagnosis or guide further medical treatment, and include image-guided biopsy of a tumor or injection an imaging contrast agent into a hollow structure, such as a blood vessel or a duct. By contrast, therapeutic IR procedures are those which provide direct treatment, and include catheter-based delivery of medicine, placement of medical devices, and angioplasty of narrowed structures.

Peripheral artery disease artery disease characterized by build up of plaque in the arteries that carry blood to your head, organs, and limbs

Peripheral artery disease (PAD) is an abnormal narrowing of arteries other than those that supply the heart or brain. When narrowing occurs in the heart, it is called coronary artery disease, and in the brain, it is called cerebrovascular disease. Peripheral artery disease most commonly affects the legs, but other arteries may also be involved - such as those of the arms, neck, or kidneys. The classic symptom is leg pain when walking which resolves with rest, known as intermittent claudication. Other symptoms include skin ulcers, bluish skin, cold skin, or abnormal nail and hair growth in the affected leg. Complications may include an infection or tissue death which may require amputation; coronary artery disease, or stroke. Up to 50% of people with PAD do not have symptoms.

Peripherally inserted central catheter Catheter intended for long periods of use

A peripherally inserted central catheter, less commonly called a percutaneous indwelling central catheter, is a form of intravenous access that can be used for a prolonged period of time or for administration of substances that should not be done peripherally. It is a catheter that enters the body through the skin (percutaneously) at a peripheral site, extends to the superior vena cava, and stays in place for days or weeks.

Claudication is a medical term usually referring to impairment in walking, or pain, discomfort, numbness, or tiredness in the legs that occurs during walking or standing and is relieved by rest. The perceived level of pain from claudication can be mild to extremely severe. Claudication is most common in the calves but it can also affect the feet, thighs, hips, buttocks, or arms. The word claudication comes from the Latin claudicare meaning 'to limp'.

This is a shortened version of the ninth chapter of the ICD-10: Diseases of the circulatory system. It covers ICD codes I00 to I99. All versions of the ICD-10, including the most recent one (2019), can be browsed freely on the website of the World Health Organisation (WHO). The ICD-10 can also be downloaded in PDF-form.

Vascular disease cardiovascular system disease that primarily affects the blood vessels

Vascular disease is a class of diseases of the blood vessels – the arteries and veins of the circulatory system of the body. It is a subgroup of cardiovascular disease. Disorders in this vast network of blood vessels, can cause a range of health problems which can be severe or prove fatal.

Umbilical line


An umbilical line is a catheter that is inserted into one of the two arteries or the vein of the umbilical cord. Generally the UAC/UVC is used in Neonatal Intensive Care Units (NICU) as it provides quick access to the central circulation of premature infants. UAC/UVC lines can be placed at the time of birth and allow medical staff to quickly infuse fluids, inotropic drugs, and blood if required. It is sometimes used in term or near-term newborns in whom the umbilical cord stump is still connected to the circulatory system. Medications, fluids, and blood can be given through this catheter and it allows monitoring of blood gasses and withdrawing of blood samples. Complications include infection and thromboembolism.

Computed tomography angiography A medical imaging technique used to visualize arterial and venous blood vessels

Computed tomography angiography is a computed tomography technique used to visualize arterial and venous vessels throughout the body. Using contrast injected into the blood vessels, images are created to look for blockages, aneurysms, dissections, and stenosis. CTA can be used to visualize the vessels of the heart, the aorta and other large blood vessels, the lungs, the kidneys, the head and neck, and the arms and legs.

Peripheral venous catheter

In medicine, a peripheral venous catheter (PVC), peripheral venous line or peripheral venous access catheter is a catheter placed into a peripheral vein for venous access to administer intravenous therapy such as medication fluids.

Venous access is any method used to access the bloodstream through the veins, either to administer intravenous therapy, parenteral nutrition, to obtain blood for analysis, or to provide an access point for blood-based treatments such as dialysis or apheresis. Access is most commonly achieved via the Seldinger technique, and guidance tools such as ultrasound and fluoroscopy can also be used to assist with visualizing access placement.

Blood vessel disorder generally refers to the narrowing, hardening or enlargement of arteries and veins. It is often due to the build-up of fatty deposits in the lumen of blood vessels or infection of the vessel wall. This can occur in various locations such as coronary blood vessels, peripheral arteries and veins. The narrowed arteries would block the blood supply to different organs and tissues. In severe conditions, it may develop into more critical health problems like myocardial infarction, stroke or heart failure, which are some of the major reasons of death.

Popliteal bypass surgery Leg artery surgical procedure

Popliteal bypass surgery, more specifically known as femoral popliteal bypass surgery (FPB) or more generally as lower extremity bypass surgery, is a surgical procedure used to treat diseased leg arteries above or below the knee. It is used as a medical intervention to salvage limbs that are at risk of amputation and to improve walking ability in people with severe intermittent claudication and ischemic rest pain.

References

  1. "What Is Peripheral Vascular Disease?" (PDF). American Heart Association (heart.org). 2012. Archived (PDF) from the original on April 12, 2015. Retrieved February 26, 2015. Peripheral artery disease (PAD) is the narrowing of the arteries to the legs, stomach, arms and head.
  2. "Overview of Peripheral Arterial Disease - Heart and Blood Vessel Disorders". Merck Manuals Consumer Version. Retrieved April 30, 2019. Disorders of arteries that supply the brain with blood are considered separately as cerebrovascular disease. Disorders that reduce blood flow of arteries in the abdomen are considered separately as abdominal aortic branch occlusion.
  3. Hochauf, Sandra; Sternitzky, Reinhardt; Schellong, Sebastian M. (2007). "Struktur und Funktion des venösen Systems". Herz (in German). Springer Nature. 32 (1): 3–9. doi:10.1007/s00059-007-2951-x. ISSN   0340-9937. PMID   17323029.
  4. Malenfant, Jason; Bubb, Kathleen; Wade, Alena; Tubbs, R. Shane; Loukas, Marios (2012). "Vascular Anatomy of Central and Peripheral Veins". Totally Implantable Venous Access Devices. Milano: Springer Milan. pp. 11–17. doi:10.1007/978-88-470-2373-4_2. ISBN   978-88-470-2372-7.
  5. "peripheral venous catheter". National Cancer Institute. Retrieved May 2, 2019.
  6. Lamperti, M.; Pittiruti, M. (June 1, 2013). "II. Difficult peripheral veins: turn on the lights". BJA: British Journal of Anaesthesia. 110 (6): 888–891. doi: 10.1093/bja/aet078 . ISSN   0007-0912. PMID   23687310 . Retrieved May 2, 2019.
  7. Lee, G; Ikeda, R M; Joye, J A; Bogren, H G; DeMaria, A N; Mason, D T (1980). "Evaluation of transluminal angioplasty of chronic coronary artery stenosis. Value and limitations assessed in fresh human cadaver hearts". Circulation. Ovid Technologies (Wolters Kluwer Health). 61 (1): 77–83. doi: 10.1161/01.cir.61.1.77 . ISSN   0009-7322. PMID   7349945.
  8. Krajcer, Z; Howell, MH (2000). "Update on Endovascular Treatment of Peripheral Vascular Disease: New Tools, Techniques, and Indications". Texas Heart Institute Journal. 27 (4): 369–385. PMC   101107 . PMID   11198311.