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Semin intervent Radiol 2022; 39(05): 475-482
DOI: 10.1055/s-0042-1757937
Review Article

Upper Extremity Deep Venous Thrombosis: Etiologies, Diagnosis, and Updates in Therapeutic Strategies

Yilun Koethe
1   Dotter Department of Interventional Radiology, Oregon Health & Sciences University, Portland, Oregon
,
Teodora Bochnakova
1   Dotter Department of Interventional Radiology, Oregon Health & Sciences University, Portland, Oregon
,
Claire S. Kaufman
1   Dotter Department of Interventional Radiology, Oregon Health & Sciences University, Portland, Oregon
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Abstract

Upper extremity deep vein thrombosis (UEDVT) is responsible for 4 to 10% of all deep vein thrombosis (DVT). Untreated UEDVT can lead to significant disability secondary to the postthrombotic syndrome. To date, there are no randomized trials specifically comparing different therapeutic strategies. Ultimately, optimal management of UEDVT depends on the underlying etiology, patient symptoms, and degree of thrombosis, with supporting evidence primarily extrapolated from lower extremity DVT data. This article will review the classification, presentation, and diagnosis of both primary and secondary UEDVT. In addition, it will discuss updates in clinical guidelines, anticoagulation, endovascular and surgical treatment strategies.

Keywords

upper extremity deep vein thrombosis - postthrombotic syndrome - endovenous catheter-directed therapy - venous thoracic outlet syndrome


Publikationsverlauf

Artikel online veröffentlicht:
20. Dezember 2022

© 2022. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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