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Abstract
Deep vein thrombosis of the upper extremity was long thought to be a benign disease,
rarely complicated by pulmonary embolism and associated with minimal longterm morbidity.
More recent observations have demonstrated however, that a significant number of patients
will continue to have disabling symptoms after treatment with conservative measures
and standard anticoagulation therapy, and that pulmonary embolism can occur in the
course of the disease. Because of its significant morbidity and increasing incidence,
an aggressive emergency department approach to diagnosis and early consideration of
fibrinolytic therapy are recommended.
Keywords
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References
- Clinical lectures and essays.Green, London1875
- Erkankungen der Gefasse.in: Nathnagel Handbuch der Pathologie and Therapie. Holder, Wein1884
- Venous obstruction in the upper extremity.Brit J Surg. 1948; 36: 155-163
- Thrombosis of axillary and subclavian veins.Arch Surg. 1967; 94: 657-663
- Central venous thrombosis: a hazard of medical progress.J Trauma. 1973; 13: 620-626
- Changing concepts of deep venous thrombosis of the upper extremity-report of a series and review of the literature.Surgery. 1988; 104: 561-567
- Pathogenesis determines late morbidity of axillo-subclavian vein thrombosis.Am J Surg. 1986; 152: 179-184
- “Effort” thrombosis of the axillary and subclavian veins.Arch Surg. 1949; 59: 258-274
- Natural history of major venous thrombosis of the upper extremity.Arch Surg. 1970; 101: 792-796
- Deep venous thrombosis of the upper extremity: A reappraisal.Circ. 1979; 59: 350-355
- Axillary, subclavian, and brachiocephalic vein obstruction.Surg. 1977; 82: 816-826
- “Effort” thrombosis of the axillary and subclavian veins.J Trauma. 1971; 11: 923-930
- Subclavian venous thrombosis due to indwelling catheters: A prospective study of 52 patients.JPEN. 1983; 7: 560-562
- Thromboembolic complications with silicone elastomere subclavian catheters.JPEN. 1982; 6: 61-63
- Reduction of catheter-associated thrombosis in parenteral nutrition by intravenous heparin therapy.Arch Surg. 1982; 117: 1196-1199
- Heparin bonding and long-term protection against thrombogenesis [letter to the editor].N Engl J Med. 1982; 307: 894-895
- Experimental approach to prevention of catheter-related central venous thrombosis.JPEN. 1984; 8: 293-297
- The incidence of venous thrombosis following long-term transvenous pacing.Ann Thorac Surg. 1976; 22: 166-170
- Total parenteral nutrition at home: Studies in patients surviving four months to five years.Gastroenterology. 1976; 71: 943-953
- Intermittent subclavian vein obstruction without thrombosis.Surg. 1968; 63: 147-165
- Venous thrombosis in the upper extremities as a complication of myocardial failure.Am J Med. 1952; : 397-400
- “Effort thrombosis” of the subclavian vein associated with oral contraceptives.Ann Emerg Med. 1981; 10: 596-599
- Upper extremity venography using digital subtraction angiography.Cardiovasc Intervent Radiol. 1986; 9: 106-108
- Impedance plethysmography: the relationship between venous filling and sensitivity and specificity for proximal vein thrombosis.Circulation. 1978; 58: 898-902
- Impedance plethysmography using the occlusive cuff technique in the diagnosis of venous thrombosis.Circulation. 1976; 53: 696-700
- Diagnostic efficacy of impedance plethysmography for clinically suspected deep-vein thrombosis.Ann Intern Med. 1985; 102: 21-28
- Diagnosis of upper extremity deep venous thrombosis using noninvasive technique.Surg. 1982; 91: 582-585
- Phleborheography of the upper extremity.Arch Surg. 1983; 118: 1134-1136
- Subclavian-axillary venous thrombosis: role of noninvasive diagnostic methods.South Med J. 1980; 73: 1503-1506
- Axillary-subclavian vein occlusion.in: Rutherford R.B. Vascular surgery. WB Saunders, Philadelphia1984: 1385-1393
- Primary subclavian-axillary vein thrombosis.Circulation. 1968; 38: 737-745
- “Effort” thrombosis of the axillary vein with pulmonary embolism.JAMA. 1951; 146: 1412-1413
- Pulmonary embolism secondary to venous thrombosis of the arm.Am J Surg. 1984; 147: 221-224
- Progressive pulmonary vascular obstruction and cor pulmonary due to repeated embolism from axillary vein thrombosis.Ann Intern Med. 1970; 73: 429-431
- Thrombolytic therapy followed by first rib resection for spontaneous (“effort”) subclavian vein thrombosis.Am J Surg. 1985; 146: 644-647
- Subclavian-axillary vein thrombosis: successful treatment with streptokinase.Can Med Assoc J. 1984; 130: 891-893
- Successful streptokinase therapy for catheter-induced subclavian vein thrombosis.Arch Intern Med. 1980; 140: 1370-1371
- Lytic therapy in the treatment of axillary and subclavian vein thrombosis.J Vasc Surg. 1985; 2: 821-827
- Diagnostic and therapeutic approach to axillary-subclavian vein thrombosis.Ann Emerg Med. 1987; 16: 889-893
- Local thrombolytic therapy for subclavian and axillary vein thrombosis.Radiology. 1983; 149: 419-423
- Local infusion of urokinase for the lysis of thrombosis associated with permanent central venous catheters in cancer patients.J Clin Onc. 1987; 5: 672-678
- Thrombolytic therapy of axillary-subclavian vein thrombosis.Arch Surg. 1987; 122: 1072-1075
- Fibrinolytic therapy.in: Colman R.W. Hirsch J. Marder V.J. Salzman E.W. Hemostasis and thrombosis: basic principles and clinical practice. JB Lippincott, Philadelphia1987: 1393-1437
- Thrombolytic therapy: current status [first of two parts].N Engl J Med. 1988; 318: 1512-1520
- Thrombolysis in myocardial infarction (TIMI) trial phase I: hemorrhagic manifestations and changes in plasma fibrinogen and the fibrinolytic system in patients treated with recombinant tissue plasminogen activator and streptokinase.J Am Coll Cardiol. 1988; 11: 1-11
- Symptomatic venous thrombosis of the upper extremity complicating permanent transvenous pacing: reversal with streptokinase infusion.Am Heart J. 1982; 104: 1112-1113
- Thrombolytic therapy in thrombosis: a National Institutes of Health concensus development conference.Ann Intern Med. 1980; 93: 141-144
- Pooled analysis of randomized trials of streptokinase and heparin in phlebographically documented acute deep venous thrombosis.Am J Med. 1984; 76: 393-397
- Pharmacology of fibrinolytic agents: implications for therapy of coronary artery thrombosis.Circulation. 1983; 68: 12-15
Article info
Publication history
Accepted:
April 13,
1989
Received in revised form:
April 12,
1989
Received:
September 1,
1988
Identification
Copyright
© 1990 Published by Elsevier Inc.