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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

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Management of catheter-associated upper extremity deep venous thrombosis

Jeffrey D Crawford1, Timothy K Liem1, Gregory L Moneta1

  • 1Division of Vascular Surgery, Department of Surgery, Oregon Health and Science University, Portland, Ore.

Journal of Vascular Surgery. Venous and Lymphatic Disorders
|June 19, 2016
PubMed

Insights

Central venous catheters increase the risk of upper extremity deep venous thrombosis (UEDVT). This review covers catheter-associated UEDVT, focusing on risk factors, diagnosis, prevention, and management strategies.

Area of Science:

  • Vascular Medicine
  • Thrombosis Research
  • Medical Device Complications

Background:

  • Central venous catheters (CVCs) and peripherally inserted central catheters (PICCs) are significant risk factors for upper extremity deep venous thrombosis (UEDVT).
  • While literature on catheter-associated (CA) UEDVT has grown, robust evidence for clinical application in screening, diagnosis, prevention, and treatment remains limited.

Purpose of the Study:

  • To review current evidence on catheter-associated upper extremity deep venous thrombosis (CA-UEDVT) applicable to clinical practice.
  • To consolidate information on CA-UEDVT, including anatomy, risk factors, diagnostic methods, and management.

Main Methods:

  • Literature review of current evidence on CA-UEDVT.
  • Focus on clinically applicable findings related to risk, diagnosis, and management.

Main Results:

  • Central venous catheters are identified as major risk factors for UEDVT.
  • Duplex ultrasound is highlighted as the preferred diagnostic modality for CA-UEDVT.
  • Preventive strategies and a management algorithm for CA-UEDVT are discussed.

Conclusions:

  • Limited strong evidence exists for screening, diagnosis, prevention, and treatment of CA-UEDVT.
  • A comprehensive review of CA-UEDVT, including risk factors and management, is presented to guide clinical practice.

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