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Text
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Pages
561–567
Issue
3
Volume
104
Dublin Core
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Title
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Changing concepts of deep venous thrombosis of the upper extremity–report of a series and review of the literature.
Publisher
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Surgery
Date
A point or period of time associated with an event in the lifecycle of the resource
1988
1988-09
Subject
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Female; Humans; Male; Middle Aged; Retrospective Studies; Pulmonary Embolism/etiology; *Subclavian Vein; Arm/*blood supply; Thrombophlebitis/*classification/etiology; Thrombosis/*classification/etiology; Catheters; Indwelling/*adverse effects
Creator
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Horattas M C; Wright D J; Fenton A H; Evans D M; Oddi M A; Kamienski R W; Shields E F
Description
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Deep venous thrombosis (DVT) of the upper extremity has recently been recognized as being more common than previously reported (probably because of the increasingly frequent use of subclavian venous access). A retrospective review of patients in whom subclavian or axillary DVT had developed in the past 6 years (1980 to 1986) was conducted at the Akron General Medical Center. The major cause identified was related to subclavian venous catheterization, which accounted for 39% of all instances of subclavian and axillary DVT. Our results are correlated with a review of the literature. In our review of studies in which subclavian venous catheterizations were prospectively examined with use of objective means of diagnosis, we found that 28% of all subclavian catheterizations had venous thrombosis develop, often subclinically. This is not an innocuous disease, as suggested in the past; in our series 12% of upper-extremity DVT had pulmonary embolization (PE). In reviewing the recent literature, we found an average 12.4% incidence of PE, which often occurs during anticoagulation treatment. Diagnostic modalities are discussed and treatment regimens are reviewed along with an extensive literature review.
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Subclavian Vein
1988
Arm/*blood supply
Catheters
Evans D M
Female
Fenton A H
Horattas M C
Humans
Indwelling/*adverse effects
Kamienski R W
Male
Middle Aged
Oddi M A
Pulmonary Embolism/etiology
Retrospective Studies
Shields E F
Surgery
Thrombophlebitis/*classification/etiology
Thrombosis/*classification/etiology
Wright D J