Table 4.

Potential outflow vein complications and associated examination findings

OUTFLOW VEIN COMPLICATIONEXAMINATION FINDINGS
Arterial inflow stenosis or nonmaturing outflow veinWill present as a small-calibre outflow vein with a weak or absent thrill
Venous outflow stenosis (involving either the outflow vein or the central veins)Will present as a hyperpulsatile outflow vein upstream to the obstruction with loss or a change in character of the thrill. Additionally, the outflow vein will be noncollapsing on arm elevation
Thrombosis of the outflow veinWill present as an indurated, noncompressible, tender outflow vein with no thrill
Aneurysms or pseudoaneurysms of the outflow veinWill present as focal dilatations of the outflow vein. These dilatations may be associated with cannulation sites but alternatively may be a consequence of venous outflow stenosis