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Deep Vein Thrombosis of the Upper Extremity

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121. SCREENING FOR REFERRAL BY A SPORTS PHYSICAL THERAPIST REVEALS AN EFFORT THROMBOSIS IN A COLLEGIATE PITCHER: A CASE REPORT Full Text available with Trip Pro

SCREENING FOR REFERRAL BY A SPORTS PHYSICAL THERAPIST REVEALS AN EFFORT THROMBOSIS IN A COLLEGIATE PITCHER: A CASE REPORT Screening for referral, regardless of setting, is the responsibility of all physical therapists. A serious condition that sports physical therapists may encounter is upper extremity (UE) deep venous thrombosis (DVT), which can result in the important and sometimes fatal complication of pulmonary embolism.A 22 year-old male right-hand dominant collegiate pitcher was referred (...) the importance of subjective and physical examination findings and use of diagnostic testing for timely identification of an UE DVT. Ultimately, the physical therapist in this case was able to screen for referral, which led to the correct diagnosis and allowed the athlete to safely and successfully return to sport. Physical therapists should include effort thrombosis in their upper quarter differential diagnosis list for athletes who perform strenuous UE activity.4.

2016 International journal of sports physical therapy

122. Simplification of the Diagnosis of Deep Vein Thrombosis

Study Description Go to Brief Summary: Prospective cohort study aimed at simplifying the diagnostic approach to symptomatic patients with the clinical suspicion of deep vein thrombosis (DVT) of the lower extremities. All patients will receive a pre-test clinical probability (PTP) and the determination of D-dimer. Patients with low PTP and negative D-dimer will have the diagnosis ruled out. All other patients will undergo compression ultrasonography (CUS) of the proximal vein system. Patients (...) Masking: None (Open Label) Primary Purpose: Diagnostic Official Title: Identification of the Optimal Approach to the Ultrasound Diagnosis of Deep Vein Thrombosis of the Lower Extremities in Symptomatic Patients Study Start Date : March 2011 Actual Primary Completion Date : July 2014 Actual Study Completion Date : September 2014 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental: Extensive search for isolated

2011 Clinical Trials

123. Cancer Associated Thrombosis, a Pilot Treatment Study Using Rivaroxaban

, intraocular, retroperitoneal, intra articular and pericardial bleeding and muscle bleeding resulting in compartment syndrome; symptomatic bleeding resulting in a decrease in the hemoglobin concentration of at least 2g/dL or resulting in the transfusion of at least two packs of blood red cells. Symptomatic recurrences of PE or DVT of the legs [ Time Frame: 3 months ] excluding visceral thrombosis, upper extremity deep vein thrombosis and clinically unsuspected PE and DVT diagnosed incidentally Major (...) deep vein thrombosis (DVT) of the legs Isolated upper-extremity DVT or superior vena cava thrombosis Isolated visceral thrombosis Platelet count < 50 000 G/L Active bleeding Hepatic disease associated with coagulopathy and clinically relevant bleeding risk including cirrhotic patients with Child Pugh B and C Hemostatic defect with contraindication to anticoagulant treatment at therapeutic dosage Vena cava filter at inclusion Fibrinolytic therapy within 3 days preceding inclusion Creatinine

2015 Clinical Trials

124. Varicose Veins and Spider Veins (Treatment)

injection of concentrated sclerosants into the deep system can cause deep vein thrombosis, pulmonary embolism, and death. The proper use of sclerosing agents requires special training and extended study. Specific dosing and technique recommendations for the administration of sclerosants are beyond the scope of this article. The most commonly used sclerosants today are polidocanol and sodium tetradecyl sulfate, both known as detergent sclerosants because they are amphiphilic substances that are inactive (...) is particularly important after treatment by any technique because all modalities of treatment for varicose disease have the potential to increase the risk of deep vein thrombosis. Activity is a strong protective factor against venous stasis. Activity is so important that most specialists will not initiate treatment for a patient who is unable to remain active following each treatment session. Previous Next: Complications Complications of varicose disease include venous ulcers, variceal bleeding, and venous

2014 eMedicine.com

125. Varicose Veins and Spider Veins (Follow-up)

injection of concentrated sclerosants into the deep system can cause deep vein thrombosis, pulmonary embolism, and death. The proper use of sclerosing agents requires special training and extended study. Specific dosing and technique recommendations for the administration of sclerosants are beyond the scope of this article. The most commonly used sclerosants today are polidocanol and sodium tetradecyl sulfate, both known as detergent sclerosants because they are amphiphilic substances that are inactive (...) is particularly important after treatment by any technique because all modalities of treatment for varicose disease have the potential to increase the risk of deep vein thrombosis. Activity is a strong protective factor against venous stasis. Activity is so important that most specialists will not initiate treatment for a patient who is unable to remain active following each treatment session. Previous Next: Complications Complications of varicose disease include venous ulcers, variceal bleeding, and venous

2014 eMedicine.com

126. Phlegmasia cerulean dolens: complication of femoral vein catheterization Full Text available with Trip Pro

. On examination, the left lower limb was swollen, discoloured, and cold with blebs up to upper one-third of left leg. The left dorsalis pedis and posterior tibial arteries were not palpable. A Doppler of veins of lower limb revealed, thrombosis of deep, and superficial venous system of left lower limb. As there was no response to anticoagulation below, knee amputation was performed. (...) Phlegmasia cerulean dolens: complication of femoral vein catheterization There are three less frequent manifestations of acute massive venous thrombosis and obstruction of the venous drainage of an extremity. They are phlegmasia alba dolens, phlegmasia cerulean dolens (PCD), and venous gangrene. The term PCD differentiates ischemia-associated massive venous thrombosis from phlegmasia alba dolens, which describes fulminant venous thrombosis without ischemia. We present a 55-year-old hypertensive

2016 CEN Case Reports

127. CoolSculpting the Upper Arm Study

or is taking any medication that in the investigator's opinion may increase the subject's risk of bruising. History of carpal tunnel syndrome, compartment syndrome or deep vein thrombosis in the upper extremities. Currently taking or has taken diet pills or weight control supplements within the past month. Any dermatological conditions, such as scars, infection, in the location of the treatment area that may interfere with the treatment or evaluation. Active implanted device such as a pacemaker (...) CoolSculpting the Upper Arm Study CoolSculpting the Upper Arm 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 studies before adding more. CoolSculpting the Upper Arm Study (ARM) The safety and scientific validity of this study

2016 Clinical Trials

128. DualSculpting the Upper Arms

of bleeding disorder or is taking any medication that in the investigator's opinion may increase the subject's risk of bruising. History of carpal tunnel syndrome, compartment syndrome or deep vein thrombosis in the upper extremities. Currently taking or has taken diet pills or weight control supplements within the past month. Any dermatological conditions, such as scars, infection, in the location of the treatment area that may interfere with the treatment or evaluation. Active implanted device (...) DualSculpting the Upper Arms DualSculpting the Upper Arms - 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. DualSculpting the Upper Arms (ARM) The safety and scientific validity of this study

2016 Clinical Trials

129. Deep vein thrombosis

, as well as , which regulates hypoxia-inducible factor-1 . Hypoxia-inducible factor-1 and early-growth-response protein 1 contribute to monocyte association with endothelial proteins, such as , prompting monocytes to release tissue factor-filled , which presumably begin clotting after binding to the endothelial surface. Deep vein thrombosis occurs in the upper extremities in about 4–10% of cases, generally in people with severe underlying diseases, especially cancer. Diagnosis [ ] DVT diagnosis (...) the postpartum period: A systematic review". Obstet Gynecol . 117 (3): 691–703. : . . ^ Baglin T (2012). "Inherited and acquired risk factors for venous thromboembolism". Semin Respir Crit Care Med . 33 (2): 127–37. : . . ^ Turpie AGG (March 2008). . The Merck's Manuals Online Medical Library . Merck. ^ Mai C, Hunt D (2011). "Upper-extremity deep venous thrombosis: A review". Am J Med . 124 (5): 402–7. : . . ^ Tichelaar YI, Kluin-Nelemans HJ, Meijer K (2012). "Infections and inflammatory diseases as risk

2012 Wikipedia

130. Deep Venous Thrombosis (DVT)

Video Overview of Aneurysms SOCIAL MEDIA Add to Any Platform Loading , MD, McMaster University Click here for Patient Education NOTE: This is the Professional Version. CONSUMERS: Topic Resources Deep venous thrombosis (DVT) is clotting of blood in a deep vein of an extremity (usually calf or thigh) or the pelvis. DVT is the primary cause of pulmonary embolism. DVT results from conditions that impair venous return, lead to endothelial injury or dysfunction, or cause hypercoagulability. DVT may (...) long-term complications include venous insufficiency with or without the postphlebitic syndrome. DVT occurs most commonly in the lower extremities or pelvis (see Figure: ). It can also develop in deep veins of the upper extremities (4 to 13% of DVT cases). Deep veins of the legs. Lower extremity DVT is much more likely to cause (PE), possibly because of the higher clot burden. The superficial femoral and popliteal veins in the thighs and the posterior tibial and peroneal veins in the calves

2013 Merck Manual (19th Edition)

131. Travel-related venous thrombosis

-208) , (2015) . David J. Keene , Upper extremity deep vein thrombosis (Paget-Schroetter syndrome) after surfing: A case report , Manual Therapy , 20 , 2 , (358) , (2015) . Franchek Drobnic, Antoni Pineda, José Román Escudero, José Manuel Soria and Joan Carles Souto , Guía de práctica clínica para la prevención, diagnóstico y tratamiento de la enfermedad tromboembólica venosa en el deporte , Apunts. Medicina de l'Esport , 10.1016/j.apunts.2015.09.001 , 50 , 188 , (147-159) , (2015) . Morteza Izadi (...) that the risk is not confined to air travel, increases with the duration of travel and results in clinical thrombosis more often in travellers with pre‐existing risk factors. The most common finding in studies of air travellers is asymptomatic calf vein thrombosis. Life threatening PE is extremely rare. Studies assessing mechanical thromboprophylaxis suggest that compression stockings are effective at preventing travel‐associated thrombosis. There are few studies on the prevention of travel‐associated

2010 British Committee for Standards in Haematology

132. Nonleg Venous Thrombosis in Critically Ill Adults: A Nested Prospective Cohort Study. Full Text available with Trip Pro

Nonleg Venous Thrombosis in Critically Ill Adults: A Nested Prospective Cohort Study. Critically ill patients are at risk of venous thrombosis, and therefore guidelines recommend daily thromboprophylaxis. Deep vein thrombosis (DVT) commonly occurs in the lower extremities but can occur in other sites including the head and neck, trunk, and upper extremities. The risk of nonleg deep venous thromboses (NLDVTs), predisposing factors, and the association between NLDVTs and pulmonary embolism (PE (...) proportion of patients who had NLDVTs, the mean number per patient, and the anatomical location. We characterized NLDVTs as prevalent or incident (identified within 72 hours of ICU admission or thereafter) and whether they were catheter related or not. We used multivariable regression models to evaluate risk factors for NLDVT and to examine subsequent anticoagulant therapy, associated PE, and death. RESULTS Of 3746 trial patients, 84 (2.2%) developed 1 or more non-leg vein thromboses (superficial or deep

2014 JAMA Internal Medicine Controlled trial quality: predicted high

133. Vascular Ultrasound Versus Intravascular Ultrasound for Diagnosing Iliac Vein Obstruction

informed consent Previous venous stent implantation involving the study leg or inferior vena cava Previous venovenous bypass surgery involving the study leg Known reaction or sensitivity to iodinated contrast that cannot be managed with premedication Subjects who are pregnant (women of childbearing potential must have a negative pregnancy test within 7 days prior to enrollment Acute deep venous thrombosis involving either leg Known history of chronic total occlusion of the common femoral vein (...) classification 3-6. Criteria Inclusion Criteria: Advanced Chronic Venous Insufficiency (CEAP 3-6) submitted to clinical treatment for at least 1 year with no response. Subject must be > 18 and < 80 years of age Willing to participate in and able to understand, read and sign the informed consent document before the planned procedure On duplex ultrasound: patent common femoral vein, and patent deep femoral vein, and/or femoral vein of the study leg Exclusion Criteria: Subject cannot or will not provide written

2014 Clinical Trials

134. Iliac Vein Stenting in Advanced Chronic Venous Insufficiency

endovascular stent implantation Known reaction or sensitivity to iodinated contrast that cannot be managed with premedication Subjects who are pregnant (women of childbearing potential must have a negative pregnancy test within 7 days prior to enrollment Acute deep venous thrombosis involving either leg Known history of chronic total occlusion of the common femoral vein of the study leg. Known history of thrombophilia (e.g., protein C or S deficiency, anti-thrombin III deficiency, presence of lupus (...) years of age Willing to participate in and able to understand, read and sign the informed consent document before the planned procedure On duplex ultrasound: patent common femoral vein, and patent deep femoral vein, and/or femoral vein of the study leg Exclusion Criteria: Subject cannot or will not provide written informed consent Previous venous stent implantation involving the study leg or inferior vena cava Previous venovenous bypass surgery involving the study leg Known metal allergy precluding

2014 Clinical Trials

135. Compartment Syndrome, Extremity (Diagnosis)

Drug/alcohol abuse and coma Rhabdomyolysis [ ] Gastrocnemius or peroneus muscle tear (lower extremity) Ruptured Baker cyst Influenza myositis [ ] Autoimmune vasculitis [ ] Androgen abuse/muscle hypertrophy Deep venous thrombosis [ ] Fractures or gunshot wounds may be the source of hemorrhage underlying compartment syndrome. [ ] Upper extremity fractures most frequently associated with compartment syndrome are supracondylar fractures of the humerus, but cases have also been reported in conjunction (...) : Anterior intermuscular septum Fibula Posterior intermuscular septum Deep fascia Superficial posterior compartment The superficial posterior compartment contains the gastrocnemius, soleus, and plantaris. It is surrounded by the deep fascia of the leg. Deep posterior compartment The muscles within the deep posterior compartment are as follows: Flexor digitorum longus Flexor hallucis longus Popliteus Tibialis posterior Also within this compartment lie the posterior tibial artery and vein and the tibial

2014 eMedicine Emergency Medicine

136. Compartment Syndrome, Extremity (Overview)

Drug/alcohol abuse and coma Rhabdomyolysis [ ] Gastrocnemius or peroneus muscle tear (lower extremity) Ruptured Baker cyst Influenza myositis [ ] Autoimmune vasculitis [ ] Androgen abuse/muscle hypertrophy Deep venous thrombosis [ ] Fractures or gunshot wounds may be the source of hemorrhage underlying compartment syndrome. [ ] Upper extremity fractures most frequently associated with compartment syndrome are supracondylar fractures of the humerus, but cases have also been reported in conjunction (...) : Anterior intermuscular septum Fibula Posterior intermuscular septum Deep fascia Superficial posterior compartment The superficial posterior compartment contains the gastrocnemius, soleus, and plantaris. It is surrounded by the deep fascia of the leg. Deep posterior compartment The muscles within the deep posterior compartment are as follows: Flexor digitorum longus Flexor hallucis longus Popliteus Tibialis posterior Also within this compartment lie the posterior tibial artery and vein and the tibial

2014 eMedicine Emergency Medicine

137. Varicose Veins Treated With Radiofrequency Ablation Therapy (Follow-up)

. The greatest current area of concern is deep vein thrombosis, with one 2004 study documenting deep vein thrombus requiring anticoagulation in 16% of 73 limbs treated with a radiofrequency ablation procedure. [ , , ] Previous Next: Outcomes Published results show a high early success rate with a very low subsequent recurrence rate up to 10 years after treatment. Early and mid range results are comparable to those obtained with other endovenous ablation techniques. The authors’ overall experience has been (...) Mar. 23(2):264-76. . Hingorani AP, Ascher E, Markevich N, et al. Deep venous thrombosis after radiofrequency ablation of greater saphenous vein: a word of caution. J Vasc Surg . 2004 Sep. 40(3):500-4. . Shepherd AC, Gohel MS, Lim CS, Hamish M, Davies AH. Pain following 980-nm endovenous laser ablation and segmental radiofrequency ablation for varicose veins: a prospective observational study. Vasc Endovascular Surg . 2010 Apr. 44(3):212-6. . Rudarakanchana N, Berland TL, Chasin C, Sadek M, Kabnick

2014 eMedicine.com

138. Varicose Veins Treated With Radiofrequency Ablation Therapy (Diagnosis)

. The greatest current area of concern is deep vein thrombosis, with one 2004 study documenting deep vein thrombus requiring anticoagulation in 16% of 73 limbs treated with a radiofrequency ablation procedure. [ , , ] Previous Next: Outcomes Published results show a high early success rate with a very low subsequent recurrence rate up to 10 years after treatment. Early and mid range results are comparable to those obtained with other endovenous ablation techniques. The authors’ overall experience has been (...) Mar. 23(2):264-76. . Hingorani AP, Ascher E, Markevich N, et al. Deep venous thrombosis after radiofrequency ablation of greater saphenous vein: a word of caution. J Vasc Surg . 2004 Sep. 40(3):500-4. . Shepherd AC, Gohel MS, Lim CS, Hamish M, Davies AH. Pain following 980-nm endovenous laser ablation and segmental radiofrequency ablation for varicose veins: a prospective observational study. Vasc Endovascular Surg . 2010 Apr. 44(3):212-6. . Rudarakanchana N, Berland TL, Chasin C, Sadek M, Kabnick

2014 eMedicine.com

139. Varicose Veins Treated With Radiofrequency Ablation Therapy (Treatment)

. The greatest current area of concern is deep vein thrombosis, with one 2004 study documenting deep vein thrombus requiring anticoagulation in 16% of 73 limbs treated with a radiofrequency ablation procedure. [ , , ] Previous Next: Outcomes Published results show a high early success rate with a very low subsequent recurrence rate up to 10 years after treatment. Early and mid range results are comparable to those obtained with other endovenous ablation techniques. The authors’ overall experience has been (...) Mar. 23(2):264-76. . Hingorani AP, Ascher E, Markevich N, et al. Deep venous thrombosis after radiofrequency ablation of greater saphenous vein: a word of caution. J Vasc Surg . 2004 Sep. 40(3):500-4. . Shepherd AC, Gohel MS, Lim CS, Hamish M, Davies AH. Pain following 980-nm endovenous laser ablation and segmental radiofrequency ablation for varicose veins: a prospective observational study. Vasc Endovascular Surg . 2010 Apr. 44(3):212-6. . Rudarakanchana N, Berland TL, Chasin C, Sadek M, Kabnick

2014 eMedicine.com

140. Varicose Veins Treated With Radiofrequency Ablation Therapy (Overview)

. The greatest current area of concern is deep vein thrombosis, with one 2004 study documenting deep vein thrombus requiring anticoagulation in 16% of 73 limbs treated with a radiofrequency ablation procedure. [ , , ] Previous Next: Outcomes Published results show a high early success rate with a very low subsequent recurrence rate up to 10 years after treatment. Early and mid range results are comparable to those obtained with other endovenous ablation techniques. The authors’ overall experience has been (...) Mar. 23(2):264-76. . Hingorani AP, Ascher E, Markevich N, et al. Deep venous thrombosis after radiofrequency ablation of greater saphenous vein: a word of caution. J Vasc Surg . 2004 Sep. 40(3):500-4. . Shepherd AC, Gohel MS, Lim CS, Hamish M, Davies AH. Pain following 980-nm endovenous laser ablation and segmental radiofrequency ablation for varicose veins: a prospective observational study. Vasc Endovascular Surg . 2010 Apr. 44(3):212-6. . Rudarakanchana N, Berland TL, Chasin C, Sadek M, Kabnick

2014 eMedicine.com

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