Upper extremity deep vein thrombosis:An intensivist’s perspective  

作　　者：Omender Singh Deven Juneja 

机构地区：[1]Institute of Critical Care Medicine,Max Super Speciality Hospital,Saket,New Delhi 110017,India

出　　处：《World Journal of Critical Care Medicine》2023年第3期130-138,共9页世界重症医学杂志

摘　　要：Upper extremity deep vein thrombosis(UEDVT)is less common than lower extremity DVT but is a cause of significant morbidity and mortality in intensive care unit patients.Increasing cancer incidence,prolonged life expectancy and increasing use of intravascular catheters and devices has led to an increased incidence of UEDVT.It is also associated with high rates of complications like pulmonary embolism,post-thrombotic syndrome and recurrent thrombosis.Clinical prediction scores and D-dimer may not be as useful in identifying UEDVT;hence,a high suspicion index is required for diagnosis.Doppler ultrasound is commonly employed for diagnosis,but other tests like computed tomography and magnetic resonance imaging venography may also be required in some patients.Contrast venography is rarely used in patients with clinical and ultrasound findings discrepancies.Anticoagulant therapy alone is sufficient in most patients,and thrombolysis and surgical decompression is seldom indicated.The outcome depends on the cause and underlying comorbidities.

关 键 词：Catheter associated deep vein thrombosis Pacemaker associated deep vein thrombosis Paget-von Schröetter syndrome Thoracic outlet syndrome Upper extremity deep vein thrombosis 

分 类 号：R543.6[医药卫生—心血管疾病]