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[The slightly different neck pain].

Thomas Reich1, Bernhard Blum1, Lukas Zimmerli1,2

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Summary
This summary is machine-generated.

Upper extremity deep vein thrombosis (UEDVT) is rare, often requiring investigation for malignancy and hypercoagulability. Anticoagulation is recommended for at least 3-6 months, with rivaroxaban a viable outpatient option.

Keywords:
Thrombosisarm thrombosisinternal jugular vein thrombosisjugular vein thrombosisupper extremity thrombosis

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Area of Science:

  • Vascular Medicine
  • Hematology
  • Diagnostic Imaging

Background:

  • Deep vein thrombosis (DVT) in the jugular vein and upper extremities is less common than in the lower extremities.
  • Duplex sonography is the primary diagnostic tool for suspected upper extremity DVT.
  • Identifying the underlying cause of DVT is crucial, especially when not immediately apparent.

Purpose of the Study:

  • To review the diagnostic and therapeutic strategies for upper extremity deep vein thrombosis (UEDVT).
  • To emphasize the importance of investigating malignancy and hypercoagulability in UEDVT cases.
  • To outline recommended anticoagulation durations and treatment options.

Main Methods:

  • Literature review of diagnostic modalities for UEDVT.
  • Analysis of etiological factors, focusing on malignancy and hypercoagulability.
  • Evaluation of current anticoagulation guidelines and treatment options.

Main Results:

  • Duplex sonography is the gold standard for diagnosing UEDVT.
  • Malignancy and hypercoagulability are key underlying causes to investigate.
  • Minimum anticoagulation durations are 3 months for primary and 6 months for secondary UEDVT.
  • Rivaroxaban offers a suitable option for outpatient management.

Conclusions:

  • Prompt diagnosis and thorough etiological investigation are essential for managing UEDVT.
  • Appropriate anticoagulation duration and agent selection are critical for patient outcomes.
  • Considering outpatient management with agents like rivaroxaban can improve patient convenience.