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Related Experiment Videos

Upper extremity venous thrombosis diagnosed by duplex scanning.

T M Kerr1, K S Lutter, D M Moeller

  • 1Vascular Laboratory, Good Samaritan Hospital, Cincinnati, Ohio 45220-2489.

American Journal of Surgery
|August 1, 1990
PubMed
Summary

Axillary-subclavian venous thrombosis is increasing, but diagnosis methods are limited. Duplex scanning offers a safe and reliable way to diagnose and monitor this condition, crucial for patient outcomes.

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Area of Science:

  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Axillary-subclavian venous thrombosis (ASVT) incidence is rising.
  • Noninvasive diagnostic methods for ASVT are infrequently reported.

Purpose of the Study:

  • To evaluate the utility of duplex scanning for diagnosing upper extremity venous thrombosis.
  • To assess the outcomes and risk factors associated with ASVT.

Main Methods:

  • Retrospective review of 693 upper extremity duplex scans.
  • Identification of patients diagnosed with acute venous thrombosis, specifically ASVT.
  • Analysis of risk factors, complications (pulmonary embolism), and long-term outcomes.

Main Results:

  • 123 patients diagnosed with acute venous thrombosis; 85 had ASVT.

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  • Central venous catheter use was the most common risk factor for ASVT.
  • 8% of ASVT patients experienced pulmonary embolism, with a 25% fatality rate within this subgroup.
  • 49% of ASVT patients died within a 2-year follow-up period.
  • Over one-third of survivors developed post-thrombotic syndrome.

    • Conclusions:

    • Duplex scanning is a safe, reliable, and repeatable method for evaluating suspected upper extremity venous thrombosis.
    • ASVT carries a significant risk of morbidity and mortality, highlighting the need for effective diagnostic and management strategies.