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Deep Vein Thrombosis of the Upper Extremity

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61. A Case Study of Deep Vein Thrombosis of the Right Internal Jugular Vein in a Healthy 21-Year-Old Male Full Text available with Trip Pro

A Case Study of Deep Vein Thrombosis of the Right Internal Jugular Vein in a Healthy 21-Year-Old Male We are reporting a case of a healthy 21-year-old male, with no significant past medical history, who was found to have an incidental nonocclusive deep vein thrombosis in the right internal jugular vein detected on a head MRI previously ordered for work-up of headaches. A follow-up upper extremity venous Doppler ultrasound confirmed the presence of a partially occlusive deep vein thrombosis (...) in the right jugular vein. The case presented is unique for the reason that the patient is young and has no prior risk factor, personal or familial, for venous thrombosis except for associated polycythemia on clinical presentation.

2016 Case reports in hematology

62. Nephrotic Syndrome Complicated with Deep Venous Thrombosis in the Upper Extremities Full Text available with Trip Pro

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

2014 Case Reports in Nephrology and Dialysis

63. 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. Full Text available with Trip Pro

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

64. Left subclavian and right femoral vein thrombosis in a pregnant patient with antithrombin deficiency Full Text available with Trip Pro

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

2018 Journal of cardiology cases

65. Blood finds its own way: Axillary vein thrombosis with extensive chest‐wall collaterals Full Text available with Trip Pro

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.

2018 Clinical Case Reports

66. Spontaneous bilateral subclavian vein thrombosis in a 40-year-old man: A case report. Full Text available with Trip Pro

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

2018 Medicine

67. Right internal jugular vein thrombosis caused by aneurysm of right-sided aortic arch Full Text available with Trip Pro

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

2018 Journal of cardiology cases

68. 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

69. Current management strategies and long-term clinical outcomes of upper extremity venous thrombosis. Full Text available with Trip Pro

Current management strategies and long-term clinical outcomes of upper extremity venous thrombosis. Essentials Few data exist on outcome of upper extremity deep and superficial vein thrombosis (UEDVT and UESVT). We followed 102 and 55 patients with UEDVT or UESVT, respectively, for a median of 3.5 years. Risk of recurrent venous thromboembolism was low in both diseases, and the mortality high. Postthrombotic symptoms were infrequent and cancer patients had a higher risk of recurrent (...) VTE.Background There is scant information on the optimal management and clinical outcome of deep and superficial vein thrombosis of the upper extremity (UEDVT and UESVT). Objectives To explore treatment strategies and the incidence of recurrent venous thromboembolism (VTE), mortality, postthrombotic symptoms, and bleeding in patients with UEDVT and UESVT and to assess the prognosis of cancer patients with UEDVT. Patients/methods Follow-up of patients with UEDVT or UESVT, who were enrolled previously

2016 Journal of Thrombosis and Haemostasis

70. High risk of deep vein thrombosis associated with peripherally inserted central catheters in lymphoma Full Text available with Trip Pro

thrombosis in lymphoma compared with its incidences in other types of cancer. A total of 8028 adult cancer patients inserted with PICC between June 2007 and June 2015 were included in this study. A total of 249 of the 8028 included patients (3.1%) inserted with PICC developed upper extremity deep vein thrombosis (PICC-UEDVT). Patients with lymphoma were more likely to have PICC-UEDVT than those with other types of malignancies (7.1% vs. 2.80%; P < 0.001). Logistic analysis revealed that a lymphoma (...) High risk of deep vein thrombosis associated with peripherally inserted central catheters in lymphoma Peripherally inserted central venous catheters (PICCs) are widely used in cancer patients. Although PICC is a convenient tool, its use is associated with an obvious increase in the incidence of venous thrombosis. The risk factors for deep vein thrombosis associated with the use of PICCs in cancer patients are largely unexplored. This study aimed to investigate the incidence of PICC-associated

2016 Oncotarget

71. Deep Vein Thrombosis and Pulmonary Embolism in Liver Transplant Patients: Risks and Prevention Full Text available with Trip Pro

Deep Vein Thrombosis and Pulmonary Embolism in Liver Transplant Patients: Risks and Prevention Deep vein thrombosis (DVT) and pulmonary embolism (PE) are surgical complications estimated to occur in 5% to 10% of patients. There are limited data regarding DVT/PE in the early postoperative period in liver transplant patients. The aim of this study is to determine risk factors that influence the incidence of DVT/PE and the effectiveness of prophylaxis.We reviewed the records of 999 patients who (...) underwent initial liver transplant between January 2000 and June 2012 at Henry Ford Hospital. In 2011, a standardized prophylactic regimen using subcutaneous (SQ) heparin was initiated. All patients that developed either upper/lower extremity DVT or PE within the first 30 days of transplant formed the cohort of this study.On multivariate analysis, only peripherally inserted central catheter (PICC) placement and SQ heparin were associated with DVT/PE. In patients receiving heparin, 3 (1.0%) had DVT/PE

2016 Transplantation direct

72. Postoperative Massive Pulmonary Embolism Due to Superficial Vein Thrombosis of the Upper Limb Full Text available with Trip Pro

Postoperative Massive Pulmonary Embolism Due to Superficial Vein Thrombosis of the Upper Limb It is well known that deep vein thrombosis of the upper extremities is linked to high morbidity/mortality, resulting in 12-20% of all documented pulmonary embolism; however, there are few data about thromboembolism originating from a vein and/or a branch of a superficial vein of the upper extremities. Pulmonary embolism secondary to upper limb superficial vein thrombosis (not combined with upper (...) extremities deep vein thrombosis) is a very rare clinical manifestation with few cases reported in the literature. We report a rare case of thrombophlebitis in departure from a superficial branch of the cephalic vein of the right arm, complicated by cardiac arrest secondary to a massive pulmonary embolism in a patient who underwent major surgery for ovarian cancer. We discuss on the numerous thrombotic risk factors, triggering a cascade of reactions and resulting in a potential fatal clinical

2016 Journal of clinical medicine research

73. 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

74. Internal Jugular and Subclavian Vein Thrombosis in a Case of Ovarian Cancer Full Text available with Trip Pro

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

2017 Case reports in otolaryngology

75. Treatment algorithm for Cancer-associated Thrombosis (CAT)

2017;157:90–6. 41. Prandoni P, Lensing AW, Piccioli A, et al. Recurrent venous thromboembolism and bleeding complications during an- ticoagulant treatment in patients with cancer and venous thrombosis. Blood 2002;100:3484–8. 42. Kovacs MJ, Kahn SR, Rodger M, et al. A pilot study of central venous catheter survival in cancer patients using low- molecular-weight heparin (dalteparin) and warfarin without catheter removal for the treatment of upper extremity deep vein thrombosis (The Catheter Study). J (...) Thromb Haemost 2007;5:1650–3. 43. Delluc A, Le Gal G, Scarvelis D, Carrier M. Outcome of cen- tral venous catheter associated upper extremity deep vein thrombosis in cancer patients. Thromb Res 2015;135:298–302. 44. Davies GA, Lazo-Langner A, Gandara E, et al. A prospective study of rivaroxaban for central venous catheter associated upper extremity deep vein thrombosis in cancer patients (Catheter 2). Thromb Res 2018;162:88–92. 45. Mehta SR, Granger CB, Eikelboom JW, et al. Efficacy and safety

2018 Thrombosis Interest Group of Canada

76. Thoracic Outlet Syndrome with Secondary Paget Schröetter Syndrome: A Rare Case of Effort-Induced Thrombosis of the Upper Extremity Full Text available with Trip Pro

, 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

2014 Western Journal of Emergency Medicine

77. Society of Interventional Radiology Reporting Standards for Thoracic Central Vein Obstruction

of thoracic central veins. THORACIC CENTRAL VEIN ANATOMY The Normal Thoracic Central Veins Thoracic veins can be categorized as central (systemic veins), somatic (azygos/hemiazygos, super?cial, body wall veins), or visceral (pulmonary veins, coronary sinus). This document will discuss obstruction of the thoracic central veins, which can be broadly considered a continuation of the deep veins of the head, neck, and upper extremities. However, before addressing the thoracic central veins, it is worth noting (...) , Hoffmann U. Upper extremity deep venous thrombosis. Vasc Med 2011; 16:191–202. 7. KlitfodL,Broholm R,BaekgaardN.Deep venousthrombosisoftheupper extremity. A review. Int Angiol 2013; 32:447–452. 8. Van den Houten MM, van Grinsven R, Pouwels S, Yo LS, van Sambeek MR, Teijink JA. Treatment of upper-extremity out?ow throm- bosis. Phlebology 2016; 31(1 suppl):28–33. 9. Hood DB, Kuehne J, Yellin AE, Weaver FA. Vascular complications of thoracic outlet syndrome. Am Surg 1997; 63:913–917. 10. Illig KA, Doyle

2018 Society of Interventional Radiology

78. 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

79. Early Detection of PICC-related Deep Vein Thrombosis by US Surveillance: an Effective Approach for Secondary Prevention?

Upper Extremity Deep Vein Thrombosis Embolism and Thrombosis Vascular Diseases Cardiovascular Diseases Venous Thrombosis (...) Early Detection of PICC-related Deep Vein Thrombosis by US Surveillance: an Effective Approach for Secondary Prevention? Early Detection of PICC-related Deep Vein Thrombosis by US Surveillance: an Effective Approach for Secondary Prevention? - 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

2013 Clinical Trials

80. Deep Vein Thrombosis

-thrombotic syndrome: >50% Venous at 5 years in nearly half of patients Efficacy data (some studies question longterm benefit) Normal vein after Catheter : 45% (contrast with 0% after alone) Decreases risk of long term , post-phlebitic syndrome, stasis ulcers Best outcome if performed early (within 2 weeks) Poor efficacy if prior Deep Vein Thrombosis References Other indications Massive proximal extremity DVT with severe symptoms or XII. Complications Post-thrombotic syndrome (postphlebitic syndrome (...) -GLOSS) The formation of a blood clot in a deep vein of the leg or lower pelvis. Symptoms may include pain, swelling, warmth, and redness in the affected area. Definition (NCI) A blood clot in a deep vein, predominantly in the lower extremity, but may include the pelvis or upper extremity.(NICHD) Definition (NCI_CDISC) A blood clot (thrombus) in a deep vein in the lower extremity. Concepts Disease or Syndrome ( T047 ) MSH ICD10 SnomedCT 128053003 , 128057002 , 195403006 , 266328001 , 155454004 LNC

2015 FP Notebook

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