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Deep Vein Thrombosis of the Upper Extremity

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141. Inferior Vena Caval Thrombosis (Overview)

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

142. 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

143. 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

144. 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

145. 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

146. 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

147. 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

148. 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

149. 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

150. Varicose Veins (Follow-up)

indications for surgery. Patients with venous outflow obstruction should not have their varicosities ablated, because they are important bypass pathways that allow blood to flow around the obstruction. Those patients who cannot remain active enough to reduce the risk of postoperative deep vein thrombosis (DVT) should not undergo surgery. Surgery during pregnancy is contraindicated because many varicose veins of pregnancy spontaneously regress after delivery. Management of varicose veins has evolved over (...) . Correction of lower extremity deep venous incompetence by ablation of superficial venous reflux. Ann Vasc Surg . 1996 Mar. 10(2):186-9. . Coon WW, Willis PW 3rd, Keller JB. Venous thromboembolism and other venous disease in the Tecumseh community health study. Circulation . 1973 Oct. 48(4):839-46. . Callam MJ. Epidemiology of varicose veins. Br J Surg . 1994 Feb. 81(2):167-73. . Carpentier PH, Maricq HR, Biro C, Ponçot-Makinen CO, Franco A. Prevalence, risk factors, and clinical patterns of chronic

2014 eMedicine Surgery

151. Varicose Veins (Treatment)

indications for surgery. Patients with venous outflow obstruction should not have their varicosities ablated, because they are important bypass pathways that allow blood to flow around the obstruction. Those patients who cannot remain active enough to reduce the risk of postoperative deep vein thrombosis (DVT) should not undergo surgery. Surgery during pregnancy is contraindicated because many varicose veins of pregnancy spontaneously regress after delivery. Management of varicose veins has evolved over (...) . Correction of lower extremity deep venous incompetence by ablation of superficial venous reflux. Ann Vasc Surg . 1996 Mar. 10(2):186-9. . Coon WW, Willis PW 3rd, Keller JB. Venous thromboembolism and other venous disease in the Tecumseh community health study. Circulation . 1973 Oct. 48(4):839-46. . Callam MJ. Epidemiology of varicose veins. Br J Surg . 1994 Feb. 81(2):167-73. . Carpentier PH, Maricq HR, Biro C, Ponçot-Makinen CO, Franco A. Prevalence, risk factors, and clinical patterns of chronic

2014 eMedicine Surgery

152. Upper Respiratory Tract Infection (Diagnosis)

of pharyngitis that leads to a suppurative thrombophlebitis of the internal jugular vein; septic thromboemboli may then spread throughout the body. Complications of sinusitis include the following: Orbital cellulitis Subperiosteal abscess Orbital abscess Mastoiditis Frontal or maxillary osteomyelitis Subdural abscess Cavernous sinus thrombosis Brain abscess Suspect a deep tissue infection when a patient has orbital or periorbital swelling, proptosis, impaired extraocular movements, or impaired vision. Signs (...) Upper Respiratory Tract Infection (Diagnosis) Upper Respiratory Tract Infection: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzAyNDYwLW92ZXJ2aWV3 processing

2014 eMedicine.com

153. Upper Respiratory Tract Infection (Overview)

of pharyngitis that leads to a suppurative thrombophlebitis of the internal jugular vein; septic thromboemboli may then spread throughout the body. Complications of sinusitis include the following: Orbital cellulitis Subperiosteal abscess Orbital abscess Mastoiditis Frontal or maxillary osteomyelitis Subdural abscess Cavernous sinus thrombosis Brain abscess Suspect a deep tissue infection when a patient has orbital or periorbital swelling, proptosis, impaired extraocular movements, or impaired vision. Signs (...) Upper Respiratory Tract Infection (Overview) Upper Respiratory Tract Infection: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzAyNDYwLW92ZXJ2aWV3 processing

2014 eMedicine.com

154. 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

2015 FP Notebook

155. Adjunctive use of the superficial femoral vein for vascular reconstructions. (PubMed)

fistulas, and one common carotid-to-vertebral bypass). Indications for arterial bypass included infected graft (20), critical limb ischemia (nine), and failed bypass (six). Indications for central venous bypass were: superior vena cava syndrome (two), vessel reconstruction due to tumor encasement (one), and central vein occlusion from thoracic outlet syndrome (one). All AV fistulas were created after patients sustained bilateral subclavian vein occlusions from failed upper extremity access. The common (...) time, 21 months). Complications occurred in 22 patients (52%) and included wound complications (n = 19; 45.2%); deep vein thrombosis (n = 1; 2.4%); anastomotic breakdown (n = 1; 2.4%); hematoma (n = 4; 9.5%); pulmonary embolism (n = 2; 4.8%); and compartment syndrome (n = 2; 4.8%).The SFV is a durable conduit for uses beyond aortic reconstruction and should be considered when the great saphenous vein is not available or size match is a concern. However, wound complications remain

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2012 Journal of Vascular Surgery

156. Central venous port implantations via the cephalic vein applying an intravasal electrographic control of the catheter tip position: a single-center experience of 316 cases. (PubMed)

-2,604) were documented. Of 35 explanted devices, the explantation was necessary due to complications in 28 cases (8.6%) with infection n = 6 (1.9%, 0.037 per 1,000 catheter days), occlusion n = 8 (2.5%, 0.050 per 1,000 catheter days), dislocation n = 7 (2.2%, 0.044 per 1,000 catheter days), deep vein thrombosis of the upper extremity n = 6 (1.9%, 0.037 per 1,000 catheter days), and clotting n = 1 (0.3%, 0.006 per 1,000 catheter days). Premature catheter removal (<30d post-operatively) was required (...) in 6 patients (1.9%, 0.037 per 1,000 catheter days) due to complications: 3 catheter dislocations/malfunctions (0.9%, 0.019 per 1,000 catheter days), one port related infection, one pocket port infection, and one deep vein thrombosis of the upper extremity (0.3%, 0.006 per 1,000 catheter days).The intra-atrial ECG techniques to judge correct tip positioning for central venous port implantations are simple and economical. The exact position can be determined intraoperatively. It can justify

2012 World journal of urology

157. Expression of concern: Prevention of central venous line-related thrombosis by continuous infusion of low-dose unfractionated heparin, in patients with haemato-oncological disease. A randomized controlled trial. (PubMed)

. A randomized controlled trial. 1082 eng Comment Journal Article Randomized Controlled Trial Germany Thromb Haemost 7608063 0340-6245 0 Anticoagulants 9005-49-6 Heparin IM Thromb Haemost. 2004 Sep;92(3):654-61 15351864 Anticoagulants administration & dosage Catheterization, Central Venous adverse effects instrumentation Catheters, Indwelling adverse effects Hematologic Neoplasms drug therapy Heparin administration & dosage Humans Infusions, Parenteral Treatment Outcome Upper Extremity Deep Vein Thrombosis (...) Expression of concern: Prevention of central venous line-related thrombosis by continuous infusion of low-dose unfractionated heparin, in patients with haemato-oncological disease. A randomized controlled trial. 21090148 2011 04 08 2011 05 23 2567-689X 104 5 2010 Nov Thrombosis and haemostasis Thromb. Haemost. Expression of concern: Prevention of central venous line-related thrombosis by continuous infusion of low-dose unfractionated heparin, in patients with haemato-oncological disease

2011 Thrombosis and haemostasis Controlled trial quality: uncertain

158. Efficacy of Low Molecular Weight Heparin in Superficial Vein Thrombosis

of thromboembolic complications and disease progression in patients with acute thrombophlebitis of lower extremities Combined end-point: occurrence of symptomatic or asymptomatic deep vein thrombosis, symptomatic pulmonary embolism or ultrasonographic blood clot progression or relapse of ST [ Time Frame: 3 months ] Clinically relevant bleeding occurring [ Time Frame: during treatment ] (i.e., major or clinically relevant non-major bleeding) Secondary Outcome Measures : To investigate the safety of ST treatment (...) by (Responsible Party): Pavel POREDOS, University Medical Centre Ljubljana Study Details Study Description Go to Brief Summary: The aim of the study is to establish whether treatment of superficial vein thrombosis (SVT) with low-molecular-weight heparin in preventive or therapeutic doses prevents disease progression and thromboembolic events (deep vein thrombosis and pulmonary embolism), whether efficacy of low-molecular-weight heparin differs with regard to the dosage used (prevention, treatment

2010 Clinical Trials

159. Treatments of varicose veins: a systematic review

if the GSV becomes distended and varicotic. Figure 1 shows the clinical decision- making process for diagnosing and treating patients with varicose veins. 4 INTRODUCTION - ASERNIP-S REVIEW OF TREATMENTS FOR VARICOSE VEINS - Mild symptoms Conservative therapy a Clinical examination (incl. history and Duplex scan) Severe symptoms and/or large veins Suitable for treatment Unsuitable for treatment Contraindications: • Pregnancy • Immobility • Venus outflow obstruction • Deep vein thrombosis • Phlebitis Great (...) to require a significantly longer recovery period than RFA patients before returning to work or normal activity. Case-series of RFA treatment reported in the systematic review found serious events such as deep vein thrombosis or pulmonary embolism to be reported at a median rate of 1% or less, while the potentially enduring and debilitating adverse event of paraesthesia was reported at a median rate of 13%; no analysis of surgery case-series was performed to provide a point of comparison. No cases

2008 ASERNIP-S

160. Upper Extremity Deep Venous Thrombosis After Prolonged Air Travel in a Patient With a Permanent Pacemaker (PubMed)

Upper Extremity Deep Venous Thrombosis After Prolonged Air Travel in a Patient With a Permanent Pacemaker 19181655 2009 03 03 2018 11 13 1942-5546 84 2 2009 Feb Mayo Clinic proceedings Mayo Clin. Proc. Upper extremity deep venous thrombosis after prolonged air travel in a patient with a permanent pacemaker. 208 10.1016/S0025-6196(11)60829-X Klein Pinchas P Shacham Nitsan N Levinger Uriel U eng Case Reports Letter England Mayo Clin Proc 0405543 0025-6196 0 Anticoagulants 0 Heparin, Low-Molecular (...) -Weight AIM IM Aged Aircraft Anticoagulants therapeutic use Heparin, Low-Molecular-Weight therapeutic use Humans Male Pacemaker, Artificial Subclavian Vein diagnostic imaging Travel Ultrasonography Upper Extremity blood supply Venous Thrombosis diagnosis drug therapy 2009 2 3 9 0 2009 2 3 9 0 2009 3 4 9 0 ppublish 19181655 S0025-6196(11)60829-X 10.1016/S0025-6196(11)60829-X PMC2664592 Lancet. 2000 Nov 11;356(9242):1657-8 11089830 Cardiovasc Surg. 2001 Apr;9(2):161-5 11250185 Lancet. 2006 Mar 11;367

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2009 Mayo Clinic Proceedings

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