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Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

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The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

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Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
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Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

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Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
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Updated: Jul 20, 2025

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
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Symptomatic Upper Extremity Deep Venous Thrombosis After Laser Lead Extraction.

Sameer Al-Maisary1, Jamila Kremer1, Gabrielle Romano1

  • 1Department of Cardiac Surgery, Heidelberg University Hospital, Heidelberg, Germany.

Brazilian Journal of Cardiovascular Surgery
|August 4, 2023
PubMed
Summary

Laser lead extraction, a common procedure, can cause venous thrombosis. This study found that patients may develop painful arm swelling due to upper extremity deep venous occlusion after laser lead removal.

Keywords:
ArmMorbiditySubclavian VeinVascular DiseasesVenous Thrombosis

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Area of Science:

  • Cardiology
  • Vascular Surgery
  • Medical Device Technology

Background:

  • Laser lead extraction is a widely used and generally safe method for removing implanted cardiac leads.
  • While effective, potential complications require ongoing investigation to ensure patient safety.
  • Venous thrombosis is a known, though infrequent, risk associated with cardiovascular procedures.

Purpose of the Study:

  • To document the occurrence and clinical presentation of axillo-subclavian vein thrombosis following laser lead extraction.
  • To analyze patient characteristics and outcomes associated with this complication.

Main Methods:

  • Retrospective analysis of patients who developed axillo-subclavian vein thrombosis after laser lead extraction.
  • Data collected included demographic, operative, clinical, and follow-up information from May 2010 to January 2020.
  • Six patients undergoing percutaneous laser lead extraction were identified.

Main Results:

  • Six patients (mean age 64±7 years, 4 males) experienced symptomatic upper extremity deep venous occlusion post-procedure.
  • A total of 11 leads (mean dwell time 92±43.8 months) were extracted.
  • Presenting symptoms included painful arm swelling.

Conclusions:

  • Laser lead extraction can be associated with the development of symptomatic upper extremity deep venous occlusion.
  • Clinicians should be aware of this potential complication and monitor patients accordingly.