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Deep Vein Thrombosis of the Upper Extremity

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81. 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

82. 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

83. 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

84. 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

85. Treatment of central venous catheter‐associated deep venous thrombosis in cancer patients with rivaroxaban (Full text)

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

2016 American journal of hematology PubMed abstract

86. Peripherally inserted central catheter usage patterns and associated symptomatic upper extremity venous thrombosis. (Full text)

Peripherally inserted central catheter usage patterns and associated symptomatic upper extremity venous thrombosis. Peripherally inserted central catheters (PICCs) may be complicated by upper extremity (UE) superficial (SVT) or deep venous thrombosis (DVT). The purpose of this study was to determine current PICC insertion patterns and if any PICC or patient characteristics were associated with venous thrombotic complications.All UE venous duplex scans during a 12-month period were reviewed (...) analysis).We identified 219 isolated UE SVTs and 154 UE DVTs, with 2056 first-time UE PICCs placed during the same period. A PICC was associated with 44 of 219 (20%) isolated UE SVTs and 54 of 154 UE DVTs (35%). The rates of PICC-associated symptomatic UE SVT were 1.9% for basilic, 7.2% for cephalic, and 0% for brachial vein PICCs. The rates of PICC-associated symptomatic UE DVT were 3.1% for basilic, 2.2% for brachial, and 0% for cephalic vein PICCs (χ(2)P < .001). Univariate analysis of technical

2012 Journal of Vascular Surgery PubMed abstract

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

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

88. Reducing the Risk - Thrombosis and Embolism during Pregnancy and the Puerperium

and the puerperium of 1–2 per 1000. 8,12–17 Absolute incidence of VTE in pregnancy and the puerperium is 107 per 100 000 person-years (95% CI 93–122 per 100 000 person-years) in the UK, 9 107 per 100 000 pregnancy-years during pregnancy and 175 per 100 000 puerperal-years during the puerperium in Denmark, 17 and 175 per 100 000 pregnancies (deep vein thrombosis [DVT] 121 per 100 000, PE 54 per 100 000) in Canada. 16 Many fatal antenatal VTE events occur in the first trimester and therefore prophylaxis for women (...) Reducing the Risk - Thrombosis and Embolism during Pregnancy and the Puerperium Reducing the Risk of V enous Thromboembolism during Pregnancy and the Puerperium Green-top Guideline No. 37a April 2015RCOG Green-top Guideline No. 37a © Royal College of Obstetricians and Gynaecologists 2 of 40 Reducing the Risk of Venous Thromboembolism during Pregnancy and the Puerperium This is the third edition of this guideline, first published in 2004 under the title ‘Thromboprophylaxis during Pregnancy

2015 Royal College of Obstetricians and Gynaecologists

89. Predictive value of D-dimer testing for the diagnosis of venous thrombosis in unusual locations: A systematic review. (Abstract)

, from January 1, 2008, to December 31, 2018, comprising 3378 patients with thrombosis in unusual sites (upper extremity deep vein thrombosis, cerebral vein thrombosis and splanchnic vein thrombosis). The Newcastle-Ottawa scale was used to assess the quality of the studies.Two articles were related to upper extremity thrombosis, showing a high sensitivity and negative predictive value for D-dimer testing. Twelve articles concerned cerebral vein thrombosis, concluding that the timing of D-dimer (...) testing was important, and that patients with a shorter duration of symptoms showed higher D-dimer levels. Sensitivity and specificity in these patients ranged from 58% to 97% and from 77% to 97.5%, respectively. Nine articles were related to splanchnic vein thrombosis. One described a population of patients with mesenteric venous thrombosis, and the rest included patients with portal vein thrombosis. The D-dimer testing methods and the proposed cut-off levels were remarkably different among

2020 Thrombosis research

90. Treatment of Splanchnic Vein Thrombosis With Rivaroxaban. A Pilot, Prospective Cohort Study

heparin and continuing with the vitamin K antagonists in most patients. Rivaroxaban is approved for the treatment of deep vein thrombosis and pulmonary embolism, but no studies have assessed the safety of rivaroxaban in the setting of splanchnic vein thrombosis. The investigators aim to collect prospective information on the safety of rivaroxaban in a pilot cohort of 100 patients with acute splanchnic vein thrombosis without liver cirrhosis. Condition or disease Intervention/treatment Phase Portal (...) Treatment of Splanchnic Vein Thrombosis With Rivaroxaban. A Pilot, Prospective Cohort Study Treatment of Splanchnic Vein Thrombosis With Rivaroxaban. A Pilot, Prospective Cohort Study - 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

2015 Clinical Trials

91. Is There Any Association between PEEP and Upper Extremity DVT? (Full text)

Is There Any Association between PEEP and Upper Extremity DVT? Background. We hypothesized that positive end-exploratory pressure (PEEP) may promote venous stasis in the upper extremities and predispose to upper extremity deep vein thrombosis (UEDVT). Methods. We performed a retrospective case control study of medical intensive care unit patients who required mechanical ventilation (MV) for >72 hours and underwent duplex ultrasound of their upper veins for suspected DVT between January 2011

2015 Critical care research and practice PubMed abstract

92. The Association Between Peripherally Inserted Central Catheter Use and Venous Thromboembolism in Upper and Lower Extremities. (Full text)

The Association Between Peripherally Inserted Central Catheter Use and Venous Thromboembolism in Upper and Lower Extremities. Peripherally inserted central catheters are associated with upper-extremity deep vein thrombosis. Whether they also are associated with lower-extremity deep vein thrombosis or pulmonary embolism is unknown. We examined the risk of venous thromboembolism in deep veins of the arm, leg, and chest after peripherally inserted central catheter placement.We conducted (...) a multicenter, retrospective cohort study of 76,242 hospitalized medical patients from 48 Michigan hospitals. Peripherally inserted central catheter presence, comorbidities, venous thrombosis risk factors, and thrombotic events within 90 days from hospital admission were ascertained by phone and record review. Cox proportional hazards models were fit to examine the association between peripherally inserted central catheter placement and 90-day hazard of upper- and lower-extremity deep vein thrombosis

2015 American Journal of Medicine PubMed abstract

93. Effective Treatment of Upper Urinary Tract Malignancies Using Laparoscopic Surgery in Three Nonagenarians in Poor General Condition: Are They Too Old for Surgery? (Full text)

of 1. The status of cases 2 and 3 was both rated as 2. All three cases had grade 3A chronic kidney disease. Cases 2 and 3 also had deep vein thrombosis in the lower extremities and dementia. In addition, case 2 had coronary occlusive disease. All cases were treated by laparoscopic surgery and effectively discharged from hospital without major physical complications. Conclusion: This report is the first English-language article that describes treating nonagenarian patients by laparoscopic urologic (...) Effective Treatment of Upper Urinary Tract Malignancies Using Laparoscopic Surgery in Three Nonagenarians in Poor General Condition: Are They Too Old for Surgery? Backgrounds: Surgical procedures in the elderly are associated with higher perioperative morbidity and mortality rates than in younger patients. This is especially significant because elderly individuals are more likely to be operated on now than in the past because they represent the fastest growing subset of the population

2018 Journal of endourology case reports PubMed abstract

94. Lower Extremity Peripheral Artery Disease: Guideline on the Management of Patients With

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 of venous stasis Chroniccompartment syndrome Calf muscles Tight, bursting pain After much exercise (jogging) Subsides very slowly (...) RECOMMENDATIONS IIb B-R Theusefulness ofanticoagulation toimprovepatencyafterlowerextremityautogenousveinorprostheticbypassis 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 bene?t with the use of anticoagulation compared

2016 American College of Cardiology

95. Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication (Full text)

Typically heavy muscled athletes Venous claudication Entire leg, worse in calf Rare Tight, bursting pain After walking Subsides slowly Relief speeded by elevation History of iliofemoral deep vein thrombosis, signs of venous congestion, edema Nerve root compression Radiates down leg Common Sharp lancinating pain Induced by sitting, standing, or walking Often present at rest Improved by change in position History of back problems. Worse with sitting. Relief when supine or sitting. Not intermittent (...) vein is the preferred conduit for infrainguinal bypass grafting. Patients who undergo invasive treatments for IC should be monitored regularly in a surveillance program to record subjective improvements, assess risk factors, optimize compliance with cardioprotective medications, and monitor hemodynamic and patency status. Development of the guidelines document The Society for Vascular Surgery (SVS) Lower Extremity Guidelines Committee began the process by developing a detailed outline

2015 Society for Vascular Surgery PubMed abstract

96. 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

97. API-CAT STUDY for APIxaban Cancer Associated Thrombosis

therapy for treating a documented index event of proximal deep venous thrombosis (DVT) (symptomatic or incidental) or pulmonary embolism (symptomatic or incidental). Condition or disease Intervention/treatment Phase Cancer-associated Thrombosis Drug: Apixaban 5 MG Phase 3 Detailed Description: For patients completing 6 months of anticoagulant therapy in whom the cancer is active, the thrombotic risk is arguably ongoing and indefinite anticoagulation seems required. There is a high heterogeneity (...) -extremity DVT or superior vena cava thrombosis Isolated visceral thrombosis Isolated catheter thrombosis Objectively documented symptomatic recurrence of VTE after the index event under anticoagulant treatment VTE during anticoagulant treatment given at therapeutic dosage Subjects with indications for long-term treatment with a VKA, such as: Mechanical heart valve Antiphospholipid syndrome Subjects with indication for long-term anticoagulation with a VKA or a DOAC at therapeutic dosage Conditions

2018 Clinical Trials

98. t-PA Prophylaxis to Prevent Catheter-associated Thrombosis and Infection

, 2018 Last Verified: September 2018 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: No Layout table for additional information Studies a U.S. FDA-regulated Drug Product: Yes Studies a U.S. FDA-regulated Device Product: No Product Manufactured in and Exported from the U.S.: Yes Additional relevant MeSH terms: Layout table for MeSH terms Infection Communicable Diseases Thrombosis Upper Extremity Deep Vein Thrombosis Embolism and Thrombosis Vascular Diseases Cardiovascular (...) t-PA Prophylaxis to Prevent Catheter-associated Thrombosis and Infection t-PA Prophylaxis to Prevent Catheter-associated Thrombosis and Infection - 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. t-PA

2018 Clinical Trials

99. Management of anticoagulation for cancer‐associated thrombosis in patients with thrombocytopenia: A systematic review (Full text)

support and dose-modified anticoagulation for periods when the platelet count is <50 × 109/L.A total of 134 article records were identified on the initial search and 10 articles underwent full text review. Two observational studies met the inclusions criteria. A total of 121 patients with CAT and thrombocytopenia were included. Forty-two of these patients had pulmonary embolism and 87 had deep vein thrombosis (DVT) including 38 upper extremity DVT. Overall, 27% of patients, regardless (...) Management of anticoagulation for cancer‐associated thrombosis in patients with thrombocytopenia: A systematic review The management of anticoagulation for cancer-associated thrombosis (CAT) in patients with thrombocytopenia is controversial. Whereas some studies suggest that administration of reduced-dose low-molecular-weight heparin (LMWH) or temporary discontinuation for moderate and severe thrombocytopenia may be a safe and effective, others suggest full-dose anticoagulation

2018 Research and Practice in Thrombosis and Haemostasis PubMed abstract

100. Deep Venous Thrombosis (Diagnosis)

. [ ] At 1-month follow-up of untreated proximal DVT, 20% regress and 25% propagate. Although calf vein thrombi are rare sources of clinically significant pulmonary embolism (PE), the incidence of PE with untreated proximal thrombi is 29-50%. [ , ] Most PEs are first diagnosed at autopsy. [ , ] Upper-extremity deep venous thrombosis The 2 forms of upper-extremity DVT are (1) effort-induced thrombosis (Paget-von Schrötter syndrome) and (2) secondary thrombosis. Effort induced thrombosis, or Paget-von (...) of an acute deep venous thrombosis in the popliteal vein with contrast enhancement. Lower-extremity venogram showing a nonocclusive chronic thrombus. The superficial femoral vein (lateral vein) has the appearance of two parallel veins, when in fact, it is one lumen containing a chronic linear thrombus. Although the chronic clot is not obstructive after it recanalizes, it effectively causes the venous valves to adhere in an open position, predisposing the patient to reflux in the involved segment

2014 eMedicine Surgery

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