Upper-extremity deep vein thrombosis. A prospective registry of 592 patients

Upper-extremity deep vein thrombosis (UEDVT) occurs spontaneously or sometimes develops as a complication of pacemaker use, long-term use of a central venous catheter (CVC), or cancer. To improve our understanding of UEDVT, we compared the demographics, symptoms, risk factors, prophylaxis, and initi...

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Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 2004-09, Vol.110 (12), p.1605-1611
Main Authors: JOFFE, Hylton V, KUCHER, Nils, TAPSON, Victor F, GOLDHABER, Samuel Z
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Anticoagulants - therapeutic use
Arm - blood supply
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Case Management
Catheterization, Central Venous - adverse effects
Continental Population Groups
Cross-Sectional Studies
Diseases of the cardiovascular system
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Female
Humans
Immobilization - adverse effects
Inpatients
Leg - blood supply
Male
Medical sciences
Middle Aged
Neoplasms - complications
Neoplasms - epidemiology
Obesity - epidemiology
Organ Specificity
Postoperative Complications - epidemiology
Prospective Studies
Pulmonary Embolism - epidemiology
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Registries
Risk Factors
Smoking - epidemiology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Thinness - epidemiology
Thrombolytic Therapy
Thrombophlebitis - diagnostic imaging
Thrombophlebitis - epidemiology
Thrombophlebitis - etiology
Ultrasonography
United States
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Description
Summary:Upper-extremity deep vein thrombosis (UEDVT) occurs spontaneously or sometimes develops as a complication of pacemaker use, long-term use of a central venous catheter (CVC), or cancer. To improve our understanding of UEDVT, we compared the demographics, symptoms, risk factors, prophylaxis, and initial management of 324 (6%) patients with central venous catheter (CVC)-associated UEDVT, 268 (5%) patients with non-CVC-associated UEDVT, and 4796 (89%) patients with lower-extremity DVT from a prospective US multicenter DVT registry. The non-CVC-associated UEDVT patients were younger (59.2+/-18.2 versus 64.2+/-16.9 years old; P
ISSN:0009-7322
1524-4539
DOI:10.1161/01.CIR.0000142289.94369.D7