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Deep Vein Thrombosis of the Upper Extremity

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61. Nephrotic Syndrome Complicated with Deep Venous Thrombosis in the Upper Extremities (PubMed)

Nephrotic Syndrome Complicated with Deep Venous Thrombosis in the Upper Extremities Deep venous thrombosis (DVT) in the upper extremities is a rare but important clinical illness, which leads to severe complications such as pulmonary embolism. Unlike DVT in the lower extremities, which is mainly induced by a hypercoagulable state, DVT in the upper extremities is usually caused by mechanical obstruction or anatomical stenosis in the venous system. We herein report a case in which DVT developed (...) in the left upper limb during treatment of nephrotic syndrome. This is the first case report of upper-extremity DVT in association with nephrotic syndrome in the literature. Our patient was a 56-year-old male with nephrotic syndrome due to idiopathic membranous nephropathy who was treated with 40 mg/day of prednisolone. During corticosteroid therapy, he developed a swelling of the left upper limb. Computed tomography revealed thrombi in the left internal jugular vein and the left subclavian vein without

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2014 Case Reports in Nephrology and Dialysis

62. The importance of the costoclavicular space in upper limb primary deep vein thrombosis, a study with magnetic resonance imaging (MRI) technique enhanced by a blood pool agent. (PubMed)

The importance of the costoclavicular space in upper limb primary deep vein thrombosis, a study with magnetic resonance imaging (MRI) technique enhanced by a blood pool agent. Primary upper extremity deep vein thrombosis (UEDVT) can be divided into idiopathic and effort thrombosis. Anatomical factors probably play an important role in effort thrombosis, whereas the cause remains mostly unknown in idiopathic thrombosis.The primary objective of this study was to examine the anatomy (...) with the modified Villalta score and the Disability of the Arm, Shoulder and Hand (DASH) test.The costoclavicular distance was significantly narrower in the UEDVT patients with the arms alongside the body but there was a significant difference only in the left arm with the arms elevated. Area of the subclavian vein: When comparing the patients non-thrombotic arm with the controls, there was a significant difference only when the arms in the supine position. Disability: There was a high correlation between DASH

2014 European journal of internal medicine

63. Deep Venous Thrombosis, Upper Extremity

in the left subclavian vein. Good flow has been reestablished. Contrast-enhanced venogram shows circumferential narrowing of the right brachiocephalic vein in a patient with non-Hodgkin lymphoma. Previous References Heil J, Miesbach W, Vogl T, Bechstein WO, Reinisch A. Deep Vein Thrombosis of the Upper Extremity. Dtsch Arztebl Int . 2017 Apr 7. 114 (14):244-249. . Carlon TA, Sudheendra D. Interventional Therapy for Upper Extremity Deep Vein Thrombosis. Semin Intervent Radiol . 2017 Mar. 34 (1):54-60 (...) . . Baarslag HJ, Koopman MM, Hutten BA, Linthorst Homan MW, Büller HR, Reekers JA, et al. Long-term follow-up of patients with suspected deep vein thrombosis of the upper extremity: survival, risk factors and post-thrombotic syndrome. Eur J Intern Med . 2004 Dec. 15(8):503-507. . Joffe HV, Kucher N, Tapson VF, Goldhaber SZ. Upper-extremity deep vein thrombosis: a prospective registry of 592 patients. Circulation . 2004 Sep 21. 110(12):1605-11. . Martinelli I, Battaglioli T, Bucciarelli P, Passamonti SM

2014 eMedicine Radiology

64. Thrombolysis for acute upper extremity deep vein thrombosis [Cochrane Protocol]

Thrombolysis for acute upper extremity deep vein thrombosis [Cochrane Protocol] 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: Timing

2016 PROSPERO

65. Upper extremity deep vein thrombosis (PubMed)

Upper extremity deep vein thrombosis A 56-year-old female, recently (3 months) diagnosed with chronic kidney disease (CKD), on maintenance dialysis through jugular hemodialysis lines with a preexisting nonfunctional mature AV fistula made at diagnosis of CKD, presented to the hospital for a peritoneal dialysis line. The recently inserted indwelling dialysis catheter in left internal jugular vein had no flow on hemodialysis as was the right-sided catheter which was removed a day before insertion (...) AV fistula for which a fistula closure was done. Absence of relief of edema prompted a further computed tomography (CT) angiogram (since it was not possible to evaluate the more proximal venous segments due to edema and presence of clavicle). Ct angiogram revealed central vein thrombosis for which catheter-directed thrombolysis and venoplasty was done resulting in complete resolution of signs and symptoms. Upper extremity DVT (UEDVT) is a very less studied topic as compared to lower extremity DVT

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2012 International journal of critical illness and injury science

66. Diagnosis and management of upper extremity deep-vein thrombosis in adults. (PubMed)

Diagnosis and management of upper extremity deep-vein thrombosis in adults. Upper extremity deep-vein thrombosis (UEDVT) is common and can cause important complications, including pulmonary embolism and post-thrombotic syndrome. An increase in the use of central venous catheters, particularly peripherally inserted central catheters has been associated with an increasing rate of disease. Accurate diagnosis is essential to guide management, but there are limitations to the available evidence (...) with suspected deep-vein thrombosis of the upper extremity.

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2012 Thrombosis and haemostasis

67. 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

2015 FP Notebook

68. Diagnostic Algorithm in Suspected Upper Extremity Deep Vein Thrombosis

Diagnostic Algorithm in Suspected Upper Extremity Deep Vein Thrombosis Diagnostic Algorithm in Suspected Upper Extremity Deep Vein Thrombosis - 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. Diagnostic (...) Algorithm in Suspected Upper Extremity Deep Vein Thrombosis (Armour) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01324037 Recruitment Status : Completed First Posted : March 28, 2011 Last Update Posted : December 3, 2014 Sponsor: University Medical Center Groningen Information provided

2011 Clinical Trials

69. Left subclavian and right femoral vein thrombosis in a pregnant patient with antithrombin deficiency (PubMed)

Left subclavian and right femoral vein thrombosis in a pregnant patient with antithrombin deficiency Pregnancy is well-known risk factor for deep vein thrombosis (DVT), which usually occurs during the third trimester and in the left-sided lower extremity. We present a case of left subclavian and right femoral vein thrombosis in a pregnant woman with a gestational age of 10 weeks. A 39-year-old woman visited the emergency department complaining of acute pain and swelling of the left upper arm (...) and right lower extremity. She showed swelling of the left upper arm and right lower extremity and a low antithrombin level of 40%. Ultrasound examination showed right femoral and left subclavian vein thrombosis. Her DVTs were treated with unfractionated heparin. Five months later, she received a cesarean delivery with intravenous unfractionated heparin and antithrombin replacement to prevent DVT, and she successfully gave birth. A genetic test for antithrombin deficiency confirmed hereditary

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2018 Journal of cardiology cases

70. Spontaneous bilateral subclavian vein thrombosis in a 40-year-old man: A case report. (PubMed)

Spontaneous bilateral subclavian vein thrombosis in a 40-year-old man: A case report. Paget-Schroetter syndrome (PSS) is an uncommon condition that refers to primary (spontaneous) thrombosis of the deep veins that drain the upper extremities because of anatomical anomalies or repetitive strenuous arm activity. Bilateral spontaneous upper extremity deep-vein thrombosis (UEDVT) is an extremely rare phenomenon in adults, which may be misdiagnosed by physicians in acute settings.A 40-year-old man (...) and maintenance doses. He was then admitted to our cardiovascular ward for further treatment.The patient was discharged 9 days later in a stable condition.Emergency physicians should consider the rare condition of UEDVT when a healthy patient presents with acute arm swelling. Patient history taking should be thorough, especially concerning the risk factors of secondary causes and possible frequent vigorous heavy lifting and overhead motion. Without secondary risk factors, primary upper deep-vein thrombosis

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2018 Medicine

71. Right internal jugular vein thrombosis caused by aneurysm of right-sided aortic arch (PubMed)

that a right-sided aortic arch aneurysm considered too small for surgery can later cause upper-extremity deep vein thrombosis.>. (...) Right internal jugular vein thrombosis caused by aneurysm of right-sided aortic arch A right-sided aortic arch is normally asymptomatic. We report the case of an 84-year-old man with right internal jugular vein thrombosis caused by an aneurysm in a right-sided aortic arch. The patient had undergone open repair of an abdominal aortic aneurysm and had an uneventful postoperative course. However, a routine postoperative contrast-enhanced thoracic and abdominal computed tomography scan showed right

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2018 Journal of cardiology cases

72. Blood finds its own way: Axillary vein thrombosis with extensive chest‐wall collaterals (PubMed)

Blood finds its own way: Axillary vein thrombosis with extensive chest‐wall collaterals Hemodialysis catheters are associated with upper extremity deep vein thrombosis, and chronic venous occlusion leads to the formation of collateral pathways. Knowledge of these pathways aids in accurate interpretation of upper extremity venograms. Arteriovenous fistula is the preferred access for chronic hemodialysis, and long-term use of catheters should be avoided.

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2018 Clinical Case Reports

73. Internal Jugular and Subclavian Vein Thrombosis in a Case of Ovarian Cancer (PubMed)

Internal Jugular and Subclavian Vein Thrombosis in a Case of Ovarian Cancer Central venous catheter insertion and cancer represent some of the important predisposing factors for deep venous thrombosis (DVT). DVT usually develops in the lower extremities, and venous thrombosis of the upper extremities is uncommon. Early diagnosis and treatment of deep venous thrombosis are of importance, because it is a precursor of complications such as pulmonary embolism and postthrombotic syndrome. A 47-year (...) lumina completely occluded with dense soft tissue. On the basis of the findings, we made the diagnosis of thrombosis of the left internal jugular and left subclavian veins. The patient was begun on treatment with oral rivaroxaban, but the left shoulder pain worsened. She was then admitted to the hospital and treated by balloon thrombectomy and thrombolytic therapy, which led to improvement of the left subclavian venous occlusion. Histopathologic examination of the removed thrombus revealed

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2017 Case reports in otolaryngology

74. Nerve transfer to partially restore upper limb function in tetraplegia

procedures overview. Other relevant literature is in the appendix of the overview. 3.2 The specialist advisers and the committee considered the key efficacy outcomes to be: restoring meaningful function and improving quality of life. 3.3 The specialist advisers and the committee considered the key safety outcomes to be: infection, deep vein thrombosis and pulmonary embolus. Nerve transfer to partially restore upper limb function in tetraplegia (IPG610) © NICE 2018. All rights reserved. Subject to Notice (...) treatments and procedure The condition, current treatments and procedure The condition 2.1 T etraplegia is typically caused by cervical spinal cord injuries, with associated complete or incomplete loss of muscle strength in all 4 extremities. The exact symptoms depend on the location and extent of injury. The most common neurological level of injury is the fifth cervical vertebra. This results in loss of upper limb function and the inability to carry out activities of daily living. Current treatments 2.2

2018 National Institute for Health and Clinical Excellence - Interventional Procedures

75. Thoracic Outlet Syndrome with Secondary Paget Schröetter Syndrome: A Rare Case of Effort-Induced Thrombosis of the Upper Extremity (PubMed)

, Saint Joseph, Michigan. Trigger Christopher C Lakeland Regional Medical Center, Department of Emergency Medicine, Saint Joseph, Michigan. eng Case Reports Journal Article United States West J Emerg Med 101476450 1936-900X IM Diagnosis, Differential Humans Male Thoracic Outlet Syndrome diagnosis etiology Tomography, X-Ray Computed Upper Extremity Deep Vein Thrombosis diagnosis etiology Weight Lifting injuries Young Adult Original DateCompleted: 20140718 2014 02 13 2014 03 04 2014 04 02 2014 7 19 6 0 (...) Thoracic Outlet Syndrome with Secondary Paget Schröetter Syndrome: A Rare Case of Effort-Induced Thrombosis of the Upper Extremity 25035731 2015 10 26 2018 11 13 1936-900X 15 4 2014 Jul The western journal of emergency medicine West J Emerg Med Thoracic outlet syndrome with secondary Paget Schröetter Syndrome: a rare case of effort-induced thrombosis of the upper extremity. 364-5 10.5811/westjem.2014.4.21521 Kellar Jesse J Lakeland Regional Medical Center, Department of Emergency Medicine

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2014 Western Journal of Emergency Medicine

76. Early thrombus removal strategies for acute deep venous thrombosis: Clinical Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum

Interv Radiol . 2006 ; 17 : 613–616 | | | | | , x 27 Vedantham, S., Thorpe, P.E., Cardella, J.F., Grassi, C.J., Patel, N.H., Ferral, H. et al. Quality improvement guidelines for the treatment of lower extremity deep vein thrombosis with use of endovascular thrombus removal. J Vasc Interv Radiol . 2006 ; 17 : 435–447 | | | | | iliofemoral DVT involves complete or partial thrombosis of the iliac vein or the common femoral vein, or both, with or without femoropopliteal DVT. Femoropopliteal DVT involves (...) incidence of underlying anatomic abnormalities in the iliac veins. x 16 Mewissen, M.W., Seabrook, G.R., Meissner, M.H., Cynamon, J., Labropoulos, N., and Haughton, S.H. Catheter-directed thrombolysis for lower extremity deep venous thrombosis: report of a national multicenter registry. Radiology . 1999 ; 211 : 39–49 | | | Compared with femoropopliteal thrombosis, iliofemoral thrombosis is also associated with less complete recanalization and a higher incidence of residual venous obstruction. Although

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2012 Society for Vascular Surgery

77. Incidence and risk factors of superficial and deep venous thrombosis associated with peripherally inserted central catheters in children. (PubMed)

decrease this complication.Background Upper-extremity venous thrombosis is associated with the use of peripherally inserted central catheters (PICCs). Few pediatric studies have focused on this issue. Objectives To determine the incidence and risk factors for PICC-related superficial vein thrombosis (SVT) and deep vein thrombosis (DVT) in children. Patients/methods An observational follow-up cohort study was conducted at a single hospital between June 2012 and June 2015. All patients receiving a PICC (...) Incidence and risk factors of superficial and deep venous thrombosis associated with peripherally inserted central catheters in children. Essentials Pediatric studies on peripherally inserted central catheter (PICC)-related thrombosis are scarce. This study analyzes incidence and risk factors for PICC-related venous thrombosis in children. PICC-related thrombosis is a common, and nearly always, asymptomatic complication. Echo-guided insertion and a catheter to vein ratio < 0.33 may notably

2016 Journal of Thrombosis and Haemostasis

78. Treatment of central venous catheter‐associated deep venous thrombosis in cancer patients with rivaroxaban (PubMed)

States Am J Hematol 7610369 0361-8609 9NDF7JZ4M3 Rivaroxaban IM Female Humans Male Middle Aged Neoplasms therapy Retrospective Studies Rivaroxaban administration & dosage Upper Extremity Deep Vein Thrombosis drug therapy 2016 10 12 2016 10 17 2016 10 22 6 0 2017 12 1 6 0 2016 10 22 6 0 ppublish 27766659 10.1002/ajh.24588 PMC5213126 J Thromb Haemost. 2007 Aug;5(8):1650-3 17488349 J Clin Oncol. 2003 Oct 1;21(19):3665-75 14512399 N Engl J Med. 2011 Mar 3;364(9):861-9 21366477 Chest. 2008 Jan;133(1):143 (...) Treatment of central venous catheter‐associated deep venous thrombosis in cancer patients with rivaroxaban 27766659 2017 11 30 2018 11 13 1096-8652 92 1 2017 Jan American journal of hematology Am. J. Hematol. Treatment of central venous catheter-associated deep venous thrombosis in cancer patients with rivaroxaban. E9-E10 10.1002/ajh.24588 Laube Eva S ES Hematology Service, Memorial Sloan Kettering Cancer Center, New York, New York. Mantha Simon S Hematology Service, Memorial Sloan Kettering

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2016 American journal of hematology

79. Spontaneous Subclavian Vein Thrombosis in a Healthy Adolescent Cheerleader: A Case of Paget-Schroetter Syndrome. (PubMed)

Spontaneous Subclavian Vein Thrombosis in a Healthy Adolescent Cheerleader: A Case of Paget-Schroetter Syndrome. We present the case of a healthy 13-year-old female adolescent who developed acute progressive swelling and pain in her right upper extremity that was secondary to an acute deep venous thrombosis of her right subclavian vein. Dynamic imaging revealed subclavian vein compression at the junction of the first rib and proximal third of the clavicle consistent with Paget-Schroetter (...) syndrome, also known as effort-related thrombosis. The compressive etiology of her thrombus was most likely related to her cheerleading activity, in which she served as the pyramid base. The patient received multimodal therapy including anticoagulation, mechanical and site-directed thrombolysis, and a first rib resection. This case illustrates that frontline providers should have a high index of suspicion for an upper extremity thrombosis in pediatric patients who present with unilateral arm swelling.

2016 Pediatric Emergency Care

80. 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease

Diagnoses for Leg Pain or Claudication With Normal Physiological Testing (Not PAD-Related) Condition Location Characteristic Effect of Exercise Effect of Rest Effect of Position Other Characteristics Symptomatic Baker’s cyst Behind knee, down calf Swelling, tenderness With exercise Also present at rest None Not intermittent Venous claudication Entire leg, worse in calf Tight, bursting pain After walking Subsides slowly Relief speeded by elevation History of iliofemoral deep vein thrombosis; edema; signs (...) Anticoagulation COR LOE Recommendations IIb B-R The usefulness of anticoagulation to improve patency after lower extremity autogenous vein or prosthetic bypass is uncertain. 193–195 See Online Data Supplements 23 and 24. Two RCTs evaluating the effectiveness of oral anticoagulation (warfarin) in improving lower extremity bypass patency demonstrated improved patency among the subgroup of patients with autogenous vein bypass grafts. 193,194 However, a Cochrane systematic review showed no patency benefit

2017 American Heart Association

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