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Deep Vein Thrombosis of the Upper Extremity

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121. Investigation, management and prevention of venous thrombosis in children

thrombosis (CVT) is also increasingly diagnosed owing to improved recognition of clinical symptoms and the availability of cerebrovascular imaging ( ). Several features distinguish childhood VTE from VTE in adults, particularly the high frequency of secondary events ( ). Over 90% of paediatric events are related to underlying medical or surgical risk factors ( ) of which central venous lines (CVL) are the most important ( ). In keeping with this there is a high incidence of upper extremity thrombosis (...) . , Hill, S. , Jaeschke, R. , Leng, G. , Liberati, A. , Magrini, N. , Mason, J. , Middleton, P. , Mrukowicz, J. , O’Connell, D. , Oxman, A.D. , Phillips, B. , Schünemann, H.J. , Edejer, T.T. , Varonen, H. , Vist, G.E. , Williams, J.W. & Zaza, S ; GRADE Working Group ( 2004 ) Grading quality of evidence and strength of recommendations . BMJ , 328 , 1490 – 1494 . Baglin, T. ( 2006 ) Value of D‐dimer testing to decide duration of anticoagulation after deep vein thrombosis: not yet . Journal of Thrombosis

2011 British Committee for Standards in Haematology

122. SCREENING FOR REFERRAL BY A SPORTS PHYSICAL THERAPIST REVEALS AN EFFORT THROMBOSIS IN A COLLEGIATE PITCHER: A CASE REPORT (PubMed)

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.

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2016 International journal of sports physical therapy

123. Study in Cancer Patients With Central Line Associated Clots in the Upper Extremity Treated With Rivaroxaban (Catheter 2)

: Interventional (Clinical Trial) Actual Enrollment : 70 participants Intervention Model: Single Group Assignment Masking: None (Open Label) Primary Purpose: Treatment Official Title: A Pilot Study in Cancer Patients With Central Venous Catheter Associated Deep Vein Thrombosis in the Upper Extremity Treated With Rivaroxaban (Catheter 2) Study Start Date : November 2012 Actual Primary Completion Date : May 2016 Actual Study Completion Date : June 2016 Resource links provided by the National Library of Medicine (...) Verified: September 2016 Additional relevant MeSH terms: Layout table for MeSH terms Thrombosis Upper Extremity Deep Vein Thrombosis Embolism and Thrombosis Vascular Diseases Cardiovascular Diseases Venous Thrombosis Rivaroxaban Factor Xa Inhibitors Antithrombins Serine Proteinase Inhibitors Protease Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Anticoagulants

2012 Clinical Trials

124. Focused Lower Extremity Venous Ultrasound

Focused Lower Extremity Venous Ultrasound Focused Lower Extremity Venous Ultrasound Aka: Focused Lower Extremity Venous Ultrasound , Venous Doppler Ultrasound of Lower Extremity , DVT Ultrasound , Limited Assessment of Lower Extremity Venous System for Deep Vein Thrombosis , Lower Extremity Doppler , Compression Ultrasonography , Compression Ultrasound From Related Chapters II. Efficacy: DVT diagnosis by standard Compression Ultrasonography (by experienced Ultrasound tech) Symptomatic patient (...) Vein Thrombosis (DVT) Video How to: Lower Extremity with (Sonosite) V. Advantages Can be done in the office setting is highly sensitive for deep vein thrombi VI. Disadvantages is not sensitive for detecting thrombi in calves VII. References Derr (2012) Introduction and Advanced Emergency Medicine Conference, GulfCoast , St. Pete's Beach Reardon (2013) Emergency Course, 3rd Rock , Minneapolis, MN Noble (2011) Emergency and Critical Care , Cambridge University Press, New York, p. 173-89 Reardon (2011

2018 FP Notebook

125. The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum

obstruction (May-Thurner syndrome), pelvic congestion syndrome, nutcracker syndrome, vascular malformations, venous trauma, tumors, and planned open or endovascular venous interventions. 1 B 5. Laboratory evaluation 5.1 We recommend that in patients with varicose veins, evaluation for thrombophilia is needed selectively for those with recurrent deep venous thrombosis, thrombosis at a young age, or thrombosis in an unusual site. Laboratory examinations are needed in patients with long-standing venous (...) thrombosis (DVT), deep venous obstruction, superficial thrombophlebitis, or arteriovenous fistula. Varicose veins may also be congenital and present as a venous malformation. Varicosities are manifestations of CVD. x 51 Eklof, B., Perrin, M., Delis, K.T., Rutherford, R.B., Gloviczki, P. et al. Updated terminology of chronic venous disorders: the VEIN-TERM transatlantic interdisciplinary consensus document. J Vasc Surg . 2009 ; 49 : 498–501 | | | | | , x 52 Caggiati, A., Bergan, J.J., Gloviczki, P

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2011 Society for Vascular Surgery

126. Phlegmasia cerulean dolens: complication of femoral vein catheterization (PubMed)

. 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

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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. Thrombosis of Axillary Vein (PubMed)

Thrombosis of Axillary Vein 14945037 2004 02 15 2018 12 01 0008-4409 66 6 1952 Jun Canadian Medical Association journal Can Med Assoc J Primary or effort thrombosis of the axillary vein. 585-6 TOWNSEND S R SR eng Journal Article Canada Can Med Assoc J 0414110 0008-4409 OM Axilla Axillary Vein Humans Upper Extremity Deep Vein Thrombosis Veins 5222:31373:490 VEINS, AXILLARY 1952 6 1 1952 6 1 0 1 1952 6 1 0 0 ppublish 14945037 PMC1822496 J Am Med Assoc. 1951 Aug 11;146(15):1412-3 14850309

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1952 Canadian Medical Association Journal

130. 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

131. 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

132. 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

133. 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

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2010 British Committee for Standards in Haematology

134. 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

135. Systematic review of anticoagulant treatment of catheter-related thrombosis. (PubMed)

between 0 and 75% depending on the definition used. Seven percent of patients with upper extremity thrombosis treated with anticoagulation experienced recurrent deep vein thrombosis and 2.8% experienced pulmonary embolism. Major hemorrhage was reported in 2.8-4.9% of anticoagulated patients. Prospective studies evaluating the optimal duration of anticoagulation in patients with CRT are needed.Copyright © 2015 Elsevier Ltd. All rights reserved. (...) , post-thrombotic syndrome, or major hemorrhage. We searched PubMed, Embase, Medline, CINAHL, Cochrane, and ACP Journal club for studies of CRT treated with anticoagulation. Of 1648 titles and abstracts, 23 studies met our inclusion criteria. No randomized trials were identified. Duration of anticoagulation varied from 8 days to more than 6 months. Outcomes of patients with upper extremity thrombosis due to CRT or other etiologies were often combined. The incidence of post-thrombotic syndrome varied

2015 Thrombosis research

136. Re-STOP DVT: Reload of High Dose Atorvastatin for Preventing Deep Vein Thrombosis in Statin Users

be administered. Active Comparator: Conventional Enoxaprin Conventional Enoxaparin before 12hr and on 1-7th day after index surgery Drug: Enoxaparin Enoxaparin 40mg SQ/day 12hr before TKRA and on day 1 to day7 after TKRA should be administered. Outcome Measures Go to Primary Outcome Measures : Development of deep vein thrombosis diagnosed and confirmed by CT angiography at lower extremities [ Time Frame: 7days after index surgery ] Secondary Outcome Measures : D-dimer, lipid panel (Total cholesterol, TG, HDL (...) Re-STOP DVT: Reload of High Dose Atorvastatin for Preventing Deep Vein Thrombosis in Statin Users Re-STOP DVT: Reload of High Dose Atorvastatin for Preventing Deep Vein Thrombosis in Statin Users - 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

2010 Clinical Trials

137. 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)

138. Nonleg venous thrombosis in critically ill adults: a nested prospective cohort study. (PubMed)

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

139. Nonleg Venous Thrombosis in Critically Ill Adults: A Nested Prospective Cohort Study. (PubMed)

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

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2014 JAMA Internal Medicine Controlled trial quality: predicted high

140. Inferior Vena Caval Thrombosis (Diagnosis)

does not present a significant risk. However, if a caval lumen remains, embolization may occur. Previous References Anderson FAJr, Wheeler HB, Goldberg RJ. A population-based perspective of the hospital incidence and case-fatality rates of deep vein thrombosis and pulmonary embolism. The Worcester DVT Study. Arch Intern Med . 1991. 151:933-938. . White RH. The epidemiology of venous thromboembolism. Circulation . 2003. 107(23 Suppl 1):I4–8. . Kraft C, Schuettfort G, Weil Y, Tirneci V, Kasper (...) -vein thrombosis. Lancet . 2001 Feb 10. 357(9254):441. . Chee YL, Culligan DJ, Watson HG. Inferior vena cava malformation as a risk factor for deep venous thrombosis in the young. Br J Haematol . 2001 Sep. 114(4):878-80. . Perhoniemi V, Salmenkivi K, Vorne M. Venous haemodynamics in the legs after ligation of the inferior vena cava. Acta Chir Scand . 1986 Jan. 152:23-7. . Koc Z, Oguzkurt L. Interruption or congenital stenosis of the inferior vena cava: prevalence, imaging, and clinical findings. Eur

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2014 eMedicine Surgery

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