Diagnosis and management of upper extremity deep-vein thrombosis in adults
| Autor: | C. G. Elliott, Scott C. Woller, Scott M. Stevens, Edward Lee, J. D. Grant, S. T. Kee, D. M. Liu, D. G. Lohan |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
central chest veins 030204 cardiovascular system & hematology paget-schroetter-syndrome randomized-trial 0302 clinical medicine Upper Extremity Deep Vein Thrombosis pulmonary-embolism thoracic outlet syndrome risk factors Thrombolytic Therapy Ultrasonography Doppler Color risk-factors Thrombectomy Diagnostic test Hematology Middle Aged deep-vein thrombosis Prognosis Thrombosis Pulmonary embolism Venous thrombosis magnetic-resonance angiography Diagnosis management Female Stents Radiology venous thrombosis Algorithms Adult Catheterization Central Venous medicine.medical_specialty diagnosis management magnetic resonance 03 medical and health sciences medicine Humans Intensive care medicine Aged cancer-patients business.industry Angioplasty Anticoagulants Phlebography medicine.disease critically-ill children 030228 respiratory system Tomography X-Ray Computed business Risk Reduction Behavior central venous catheters Magnetic Resonance Angiography |
| Popis: | SummaryUpper extremity deep-vein thrombosis (UEDVT) is common and can cause important complications, including pulmonary embolism and post-thrombotic syndrome. An increase in the use of central venous catheters, particularly peripherally inserted central catheters has been associated with an increasing rate of disease. Accurate diagnosis is essential to guide management, but there are limitations to the available evidence for available diagnostic tests. Anticoagulation is the mainstay of therapy, but interventional treatments may be considered in select situations. The risk of UEDVT may be reduced by more careful selection of patients who receive central venous catheters and by use of smaller catheters. Herein we review the diagnosis, management and prevention of UEDVT. Due to paucity of research, some principles are drawn from studies of lower extremity DVT. We present a practical approach to diagnosing the patient with suspected deep-vein thrombosis of the upper extremity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|