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Upper extremity thrombosis: etiology and prognosis
Angiology
|November 1, 1982
Summary
Upper extremity deep venous thrombosis (DVT) is rare. This review suggests secondary DVT of the arm may be more benign and self-limiting than previously thought, with fewer complications observed.
Area of Science:
- Vascular Medicine
- Hematology
Background:
- Deep venous thrombosis (DVT) in the upper extremity accounts for 1-2% of all DVT cases.
- Clinical presentation, diagnosis, and treatment paradigms for upper extremity DVT have remained largely unchanged for decades.
Observation:
- A review of 16 patients with 17 episodes of upper extremity thrombosis was conducted.
- The study observed a trend towards fewer cases of primary thrombosis and reduced acute or chronic sequelae compared to historical data.
Findings:
- The study suggests a potential shift in the natural history of upper extremity DVT.
- Secondary upper extremity DVT, particularly, appears to be a more benign and self-limiting condition than traditionally reported.
Implications:
- These findings may necessitate a re-evaluation of the traditional understanding and management of upper extremity DVT.
- Further research into the evolving natural history and specific risk factors for secondary upper extremity DVT is warranted.