Upper Extremity Deep Venous Thrombosis: Etiologies, Diagnosis, and Updates in Therapeutic Strategies

Yilun Koethe; Teodora Bochnakova; Claire S. Kaufman

doi:10.1055/s-0042-1757937

Seminars in Interventional Radiology, Inhaltsverzeichnis

Semin intervent Radiol 2022; 39(05): 475-482
DOI: 10.1055/s-0042-1757937

Review Article

Upper Extremity Deep Venous Thrombosis: Etiologies, Diagnosis, and Updates in Therapeutic Strategies

Authors

Yilun Koethe

¹Dotter Department of Interventional Radiology, Oregon Health & Sciences University, Portland, Oregon
Teodora Bochnakova

¹Dotter Department of Interventional Radiology, Oregon Health & Sciences University, Portland, Oregon
Claire S. Kaufman

¹Dotter Department of Interventional Radiology, Oregon Health & Sciences University, Portland, Oregon

Abstract

Upper extremity deep vein thrombosis (UEDVT) is responsible for 4 to 10% of all deep vein thrombosis (DVT). Untreated UEDVT can lead to significant disability secondary to the postthrombotic syndrome. To date, there are no randomized trials specifically comparing different therapeutic strategies. Ultimately, optimal management of UEDVT depends on the underlying etiology, patient symptoms, and degree of thrombosis, with supporting evidence primarily extrapolated from lower extremity DVT data. This article will review the classification, presentation, and diagnosis of both primary and secondary UEDVT. In addition, it will discuss updates in clinical guidelines, anticoagulation, endovascular and surgical treatment strategies.

Keywords

upper extremity deep vein thrombosis - postthrombotic syndrome - endovenous catheter-directed therapy - venous thoracic outlet syndrome

Volltext

Referenzen

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