Expired CME Article

Upper Extremity Deep Vein Thrombosis

Authors: Mrugeshkumar K. Shah, MD, MPh, MS, David T. Burke, MD, MA, Stephanie H. Shah, MD

Abstract

Upper-extremity deep vein thrombosis (DVT) is a fairly uncommon syndrome of complex etiology and varied presentation. Its incidence has recently grown, and it has become more widely recognized in diverse clinical settings. Clinical reviews and prospective studies have clarified some aspects of the clinical presentation and setting and have alerted clinicians to the significant morbidity and risk of pulmonary embolization that exist in patients with this condition. Still, upper-extremity DVT remains a source of clinical bafflement to many physicians who, in dealing with patients with this condition, generate a steady stream of questions and referrals to vascular surgeons, hematologists, radiologists, and other specialists with presumed expertise in the diagnosis and management of this disease. From whence came this state of affairs?

This content is limited to qualifying members.

Existing members, please login first.

If you have an existing account please login now to access this article or view your purchase options.

Purchase only this article ($15)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References

1. Shah MK, Burke DT, Shah SH. Upper-extremity deep vein thrombosis. South Med J 2003; 96: 668–673.
 
2. Ellis MH, Manor Y, Witz M. Risk factors and management of patients with upper limb deep vein thrombosis. Chest 2000; 117: 43–46.
 
3. Martinelli I, Cattaneo M, Panzeri D, Taioli E, Mannucci PM. Risk factors for deep venous thrombosis of the upper extremities. Ann Intern Med 1997; 126: 707–711.
 
4. Prandoni P, Polistena P, Bernardi E, Cogo A, Casara D, Verlato F, et al. Upper-extremity deep vein thrombosis: Risk factors, diagnosis, and complications. Arch Intern Med 1997; 157: 57–62.
 
5. Tapson VF, Carroll BA, Davidson BL, Elliott CG, Fedullo PF, Hales CA, et al. The diagnostic approach to acute venous thromboembolism: Clinical practice guideline—American Thoracic Society. Am J Respir Crit Care Med 1999; 160: 1043–1066.
 
6. Ault M, Artal R. Upper extremity DVT: What is the risk? Arch Intern Med 1998; 158: 1950–1952(letter).