Julie Hollberg, MD
What is the best approach to treat an upper-extremity DVT?
October 1, 2011
Key Points: UEDVT risk factors include central venous catheters, malignancy, thoracic outlet syndrome or other anatomic abnormalities, previous DVT, “effort-related” activities, and hypercoagulable states; A significantly increased mortality rate exists among people diagnosed with UEDVT; UEDVT should be treated similarly to LEDVT: UFH or LMWH followed by warfarin for at least three months; The ACCP recommends against the routine use of thrombolytics, angioplasty, stent placement, or surgery. Still, some patients may benefit from these approaches, so each patient should be considered individually.
What is the best approach to treat an upper extremity DVT?
May 2, 2009
Case A 45-year-old female with a history of cellulitis requiring peripheral inserted central catheter (PICC) line placement for intravenous antibiotics presents two weeks after line removal with persistent, dull, aching pain in her right shoulder and difficulty removing the rings on her right hand.