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Deep Vein Thrombosis of the Upper Extremity

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21. Upper extremity deep vein thrombosis in a triathlete: Again intense endurance exercise as a thrombogenic risk. (PubMed)

Upper extremity deep vein thrombosis in a triathlete: Again intense endurance exercise as a thrombogenic risk. Triathlon followers increase each year and long-distance events have seen major growth worldwide. In the cycling phase, athletes must maintain an aerodynamic posture on the bike for long periods of time. We report a case of a 38-year-old triathlete with symptoms of an axillary vein thrombosis 48h after a long triathlon competition. After 3days of hospitalization with a treatment (...) consisted on enoxaparin anticoagulant and acenocumarol, the patient was discharged with instructions to continue treatment under home hospitalization with acetaminophen. Four weeks after the process, the patient was asymptomatic and the diameter of his arm was near normality. Due to the growing popularity of events based on endurance exercise, it is necessary more research to determine the etiopathogeny of deep venous thrombosis in athletes.Copyright © 2016 Elsevier Inc. All rights reserved.

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2016 American Journal of Emergency Medicine

22. Improving the diagnostic management of upper extremity deep vein thrombosis. (PubMed)

Improving the diagnostic management of upper extremity deep vein thrombosis. Essentials The Constans score and D-dimer can rule out upper extremity deep vein thrombosis without imaging. We evaluated the performance of an extended Constans score and an age-adjusted D-dimer threshold. The extended Constans score did not increase the efficiency compared to the original score. Age-adjusted D-dimer testing safely increased the efficiency by 4%, but this needs validation.Background Among patients (...) with clinically suspected upper extremity deep vein thrombosis (UEDVT), a clinical decision rule based on the Constans score combined with D-dimer testing can safely rule out the diagnosis without imaging in approximately one-fifth of patients. Objectives To evaluate the performance of the original Constans score, an extended Constans score and an age-adjusted D-dimer positivity threshold. Methods Data of 406 patients with suspected UEDVT previously enrolled in a multinational diagnostic management study were

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2016 Journal of Thrombosis and Haemostasis

23. Deep Vein Thrombosis of the Upper Extremity

Deep Vein Thrombosis of the Upper Extremity Deep Vein Thrombosis of the Upper Extremity Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration (...) 4 Deep Vein Thrombosis of the Upper Extremity Deep Vein Thrombosis of the Upper Extremity Aka: Deep Vein Thrombosis of the Upper Extremity , Upper Extremity DVT , PICC Line Thrombosis From Related Chapters II. Causes Central Venous Catheter (common) PICC Line Thrombosis (complicates 3-5% of s) External Vein Compression (Effort Thrombosis) Athletes with muscle hypertrophy Idiopathic (rare) Evaluate for occult cancer Consider evaluation for state III. Symptoms or of the hand or arm IV. Signs Arm

2018 FP Notebook

24. Paget-Schroetter syndrome: diagnostic limitations of imaging upper extremity deep vein thrombosis. (PubMed)

Paget-Schroetter syndrome: diagnostic limitations of imaging upper extremity deep vein thrombosis. Paget-Schroetter syndrome is a rare but potentially debilitating condition affecting young, otherwise healthy individuals. This condition, also known as effort thrombosis, is an upper extremity deep vein thrombosis classically caused by anatomical abnormalities compressing the neurovascular structures of the thoracic outlet. The diagnosis is important to emergency medicine providers due to its (...) upper extremity deep vein thromboses. The initial selected imaging study, Doppler ultrasound, was negative in our case and was followed by a nondiagnostic computed tomographic venogram. Although ultrasound is the preferred diagnostic imaging modality, it is limited when thrombosis is present in the noncompressible region of the clavicle. Magnetic resonance venogram or computed tomographic venogram is recommended if index of suspicion is high and the ultrasound shows normal results, but these studies

2016 American Journal of Emergency Medicine

25. Postoperative upper extremity deep vein thrombosis in a gynecologic oncology patient: A case report (PubMed)

Postoperative upper extremity deep vein thrombosis in a gynecologic oncology patient: A case report Upper extremity deep vein thrombosis (UEDVT) represents approximately 10% of all thromboembolic events. It is a rare condition after a gynecologic surgery and highly related with pulmonary embolism.Herein, we present a very rare case of a unilateral left upper extremity deep vein thrombosis in a morbidly obese patient with synchronous primary cancers of endometrium and ovary.Our aim (...) was to underline the relationship between the presence of gynecologic malignancy, oncologic surgery and UEDVT.Upper extremity deep vein thrombosis should be kept in mind in the presence of any symptom on upper extremity during postoperative period even in patients without central venous catheter.Copyright © 2016 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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2016 International journal of surgery case reports

26. Clinical course of upper extremity deep vein thrombosis in patients with or without cancer: a systematic review. (PubMed)

Clinical course of upper extremity deep vein thrombosis in patients with or without cancer: a systematic review. The incidence of upper extremity deep vein thrombosis (UEDVT) is increasing. Information on the clinical course of UEDVT is scarce, especially in cancer patients.To summarize the clinical evidence regarding long-term clinical outcomes of UEDVT, in terms of recurrent venous thromboembolism (VTE), mortality, and anticoagulant-related bleeding, in patients with or without concomitant

2016 Thrombosis research

27. Quality Improvement Guidelines for the Treatment of Lower-Extremity Deep Vein Thrombosis with Use of Endovascular Thrombus Removal

Quality Improvement Guidelines for the Treatment of Lower-Extremity Deep Vein Thrombosis with Use of Endovascular Thrombus Removal STANDARDS OF PRACTICE Quality Improvement Guidelines for the Treatment of Lower-Extremity Deep Vein Thrombosis with Use of Endovascular Thrombus Removal Suresh Vedantham, MD, Akhilesh K. Sista, MD, Seth J. Klein, MD, Lina Nayak, MD, Mahmood K. Razavi, MD, Sanjeeva P. Kalva, MD, Wael E. Saad, MD, Sean R. Dariushnia, MD, Drew M. Caplin, MD, Christine P. Chao, MD (...) by telephone conference calling or face- to-face meeting. The ?nalized draft from the Committee is sent to the SIR membership for further input/criticism during a 30-day comment period. These comments are discussed by the Standards of Practice Committee, and appropriate revisions are made to create the ?nished standards document. Before its publication, the document is endorsed by the SIR Executive Council. INTRODUCTION Lower-extremity deep vein thrombosis (DVT) is a serious medical condition that can

2014 Society of Interventional Radiology

28. Primary Upper Limb Deep Vein Thrombosis. Is First Rib Resection Necessary?

information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Additional relevant MeSH terms: Layout table for MeSH terms Thrombosis Venous Thrombosis Upper Extremity Deep Vein Thrombosis Embolism and Thrombosis Vascular Diseases Cardiovascular Diseases (...) Primary Upper Limb Deep Vein Thrombosis. Is First Rib Resection Necessary? Primary Upper Limb Deep Vein Thrombosis. Is First Rib Resection Necessary? - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Primary

2018 Clinical Trials

29. Accuracy of diagnostic tests for clinically suspected upper extremity deep vein thrombosis: a systematic review

Accuracy of diagnostic tests for clinically suspected upper extremity deep vein thrombosis: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2010 DARE.

30. Deep Vein Thrombosis in Upper Limb in a Weightlifter (PubMed)

Deep Vein Thrombosis in Upper Limb in a Weightlifter We report an unusual case of a male weightlifter with upper extremity venous thrombosis.Thrombosis affecting subclavian-axillo-humeral venous trunk produced by the compression of these veins by the trained muscles of the shoulder girdle (Paget-Schroetter syndrome) has been reported. During the study, a renal carcinoma was detected. Renal carcinoma has rarely been associated with thrombosis in the upper extremities.This case shows

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2017 Open access Macedonian journal of medical sciences

31. Central Venous Catheter-Related Deep Vein Thrombosis

collateral veins on the chest, or symptoms of superior vena cava obstruction. Pulmonary embolism (PE) can occur in about 16% of all patients with catheter-associated DVT. The best initial test for diagnosing thrombosis is duplex ultrasonography, noting that it is less reliable for upper extremity than for lower extremity DVT due to the position of the clavicle. However, the sensitivity and specificity of this test are shown to be above 94%. In difficult cases, magnetic resonance imaging (MRI (...) ) and computed tomography (CT) can also be used. Venography is the gold standard but it is © 2013 Thrombosis Canada. Page 2 of 3 an invasive procedure and is often difficult to interpret. Lineograms, a radiographic study where contrast is injected into the catheter, are not recommended for excluding a diagnosis of catheter- related DVT. Post-thrombotic syndrome can occur in the upper extremity, and may manifest as chronic pain, swelling, edema, varicose veins and disability of the affected arm. TREATMENT

2015 Thrombosis Interest Group of Canada

32. Catheter-directed thrombolysis prevents post-thrombotic syndrome in patients with acute deep vein thrombosis in the upper half of the thigh

Catheter-directed thrombolysis prevents post-thrombotic syndrome in patients with acute deep vein thrombosis in the upper half of the thigh Catheter-directed thrombolysis prevents post-thrombotic syndrome in patients with acute deep vein thrombosis in the upper half of the thigh | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use (...) in the upper half of the thigh Article Text Therapeutics Catheter-directed thrombolysis prevents post-thrombotic syndrome in patients with acute deep vein thrombosis in the upper half of the thigh Anthony J Comerota Statistics from Altmetric.com Commentary on: Enden T , Haig Y , Kløw NE , et al . Long-term outcome after additional catheter-directed thrombolysis versus standard treatment for acute iliofemoral deep vein thrombosis (the CaVenT study): a randomised controlled trial. Context Post-thrombotic

2012 Evidence-Based Medicine (Requires free registration)

33. Upper extremity deep venous thrombosis and pulmonary embolus after ovarian hyperstimulation (PubMed)

Upper extremity deep venous thrombosis and pulmonary embolus after ovarian hyperstimulation A healthy female presented with upper extremity (UE) swelling of several days duration. Admission laboratories were normal except for an elevated D-dimer. An UE ultrasound with Doppler revealed a thrombus in the right subclavian vein. A subsequent chest CT angiogram further characterised the subclavian vein thrombus and also identified a pulmonary embolus. A thorough history and laboratory evaluation (...) showed that her only risk factors were long-time contraceptive pills and a recent cycle of ovarian hyperstimulation (OH) 7 weeks prior to presentation. Anticoagulation treatment was started and the patient's remaining outpatient work-up was negative for all other hereditary causes. A complete anatomic work-up showed bilateral thoracic outlet syndrome (TOS). A review of the literature on the occurrence of upper extremity deep venous thrombosis suggests that these usually occur in the presence

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2016 BMJ case reports

34. Apixaban for Routine Management of Upper Extremity Deep Venous Thrombosis

, 2018 See Sponsor: Intermountain Health Care, Inc. Collaborators: Bristol-Myers Squibb Pfizer Information provided by (Responsible Party): Scott C. Woller, MD, Intermountain Health Care, Inc. Study Details Study Description Go to Brief Summary: This study will assess the safety and effectiveness of a drug called apixaban for the treatment of upper extremity deep vein thrombosis (UEDVT) and clinically important bleeding. Subjects will receive apixaban 10 mg by mouth twice a day for 7 days, followed (...) ; however, it is hoped that the information obtained from this research study will help treat patients in the future. Condition or disease Intervention/treatment Phase Deep Venous Thrombosis Upper Extremity Deep Venous Thrombosis Thrombus Venous Thromboembolism Deep Vein Thrombosis Drug: apixaban Phase 4 Detailed Description: Background: Upper extremity deep vein thrombosis (UEDVT) constitutes approximately 10% of all DVT. A recent increase in incidence is largely secondary to the increasing use

2016 Clinical Trials

35. Central Venous Catheters and Upper Extremity Deep Vein Thrombosis in Medical Inpatients: the Medical Inpatients and Thrombosis (MITH) study. (PubMed)

Central Venous Catheters and Upper Extremity Deep Vein Thrombosis in Medical Inpatients: the Medical Inpatients and Thrombosis (MITH) study. Upper extremity deep vein thrombosis (UEDVT) is an increasingly recognized complication in medical inpatients, with few data available regarding the incidence, risk factors and association with central venous catheter (CVC) use.Between 2002 and 2009 all cases of hospital-acquired venous thromboembolism (VTE) at a university hospital were frequency matched (...) 1 : 2 to non-cases without VTE by admission year and medical service. Records were abstracted to identify, characterize and assess risk factors for UEDVT. Weighted logistic regression was used to calculate odds ratios (ORs) for UEDVT associated with use of a CVC, adjusting for known VTE risk factors.Two hundred and ninety-nine cases of VTE complicated 64 034 admissions to medical services (4.6 per 1000 admissions). UEDVT constituted 51% (91/180) of all deep vein thrombosis (DVT

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2015 Journal of Thrombosis and Haemostasis

36. Upper Extremity Deep Vein Thromboses: The Bowler and the Barista (PubMed)

Upper Extremity Deep Vein Thromboses: The Bowler and the Barista Effort thrombosis of the upper extremity refers to a deep venous thrombosis of the upper extremity resulting from repetitive activity of the upper limb. Most cases of effort thrombosis occur in young elite athletes with strenuous upper extremity activity. This article reports two cases who both developed upper extremity deep vein thromboses, the first being a 67-year-old bowler and the second a 25-year-old barista, and illustrates (...) that effort thrombosis should be included in the differential diagnosis in any patient with symptoms concerning DVT associated with repetitive activity. A literature review explores the recommended therapies for upper extremity deep vein thromboses.

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2016 Case reports in vascular medicine

37. Diagnosis of deep vein thrombosis of the upper extremity: a systematic review of test accuracy

Diagnosis of deep vein thrombosis of the upper extremity: a systematic review of test accuracy Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address

2018 PROSPERO

38. Incidence and Clinical Implications of Upper Extremity Deep Vein Thrombosis After Laparoscopic Bariatric Procedures. (PubMed)

Incidence and Clinical Implications of Upper Extremity Deep Vein Thrombosis After Laparoscopic Bariatric Procedures. Upper extremity deep vein thrombosis (UEDVT) represents less than 10 % of thromboembolic events, but has been associated with higher incidence of asymptomatic pulmonary embolism. Data regarding UEDVT and its treatment is limited. Our objective was to investigate UEDVT incidence, diagnosis, and treatment in our bariatric patient population. We conducted a retrospective review

2015 Obesity Surgery

39. Upper extremity deep vein thrombosis: a complication of an indwelling peripherally inserted central venous catheter (PubMed)

Upper extremity deep vein thrombosis: a complication of an indwelling peripherally inserted central venous catheter We report a case of peripherally inserted central venous catheter (PICC)-associated deep vein thrombosis (DVT). Ultrasound images and video of subclavian thrombus are presented. PICC line-associated DVT, particularly in cancer patients is not uncommon. Point-of-care Emergency Department ultrasound can readily diagnose this complication and device removal is not always necessary.

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2015 Clinical Case Reports

40. A prognostic score to identify low-risk outpatients with acute deep vein thrombosis in the upper extremity. (PubMed)

A prognostic score to identify low-risk outpatients with acute deep vein thrombosis in the upper extremity. No studies have identified which patients with upper-extremity deep vein thrombosis (DVT) are at low risk for adverse events within the first week of therapy.We used data from Registro Informatizado de la Enfermedad TromboEmbólica to explore in patients with upper-extremity DVT a prognostic score that correctly identified patients with lower limb DVT at low risk for pulmonary embolism (...) improvement was 0.0055.Using six easily available variables, we identified outpatients with upper-extremity DVT at low risk for adverse events within the first week. These data may help to safely treat more patients at home.© 2015 International Society on Thrombosis and Haemostasis.

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2015 Journal of Thrombosis and Haemostasis

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