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Semin intervent Radiol 2017; 34(01): 54-60
DOI: 10.1055/s-0036-1597764
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Interventional Therapy for Upper Extremity Deep Vein Thrombosis

Timothy A. Carlon
1   Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
,
Deepak Sudheendra
2   Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
› Author Affiliations
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Publication History

Publication Date:
02 March 2017 (online)

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Abstract

Approximately 10% of all deep vein thromboses occur in the upper extremity, and that number is increasing due to the use of peripherally inserted central catheters. Sequelae of upper extremity deep vein thrombosis (UEDVT) are similar to those for lower extremity deep vein thrombosis (LEDVT) and include postthrombotic syndrome and pulmonary embolism. In addition to systemic anticoagulation, there are multiple interventional treatment options for UEDVT with the potential to reduce the incidence of these sequelae. To date, there have been no randomized trials to define the optimal management strategy for patients presenting with UEDVT, so many conclusions are drawn from smaller, single-center studies or from LEDVT research. In this article, the authors describe the evidence for the currently available treatment options and an approach to a patient with acute UEDVT.

Keywords

upper extremity deep vein thrombosis - Paget-Schroetter syndrome - thrombolysis - pharmacomechanical thrombectomy - interventional radiology
 

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