Presentation
If emboli form, break off, and travel distally, patients may present with subacute focal symptoms such as an individual digit with decreased pallor. 11 The most dangerous presentation is in patients who acutely form a completely thrombosed subclavian [clinicaladvisor.com]
After 10 days, she presented to accident and emergency department with acute discomfort and swelling of the left upper extremity. [ijcasereportsandimages.com]
He presented to us with an acute onset (two days history) of left upper extremity pain, edema, and bluish discoloration. [cathlabdigest.com]
If pneumothorax is present, it can be treated by inserting a small chest tube into the pleural space. The tube can be removed in the recovery room if the lung is fully expanded and no air leak is present. [emedicine.medscape.com]
We present a 53 year-old female that complained of a progressive painful left lower neck swelling and redness for 2 days. [ispub.com]
Hematological
- Prolonged Bleeding
In a patient with a dysfunctional access (prolonged bleeding, high pressures, and inefficient dialysis/recirculation) and a stenosis at the CCJ, we aggressively decompress the thoracic outlet by means of first rib resection. [openaccessjournals.com]
Entire Body System
- Arm Pain
Patients present with symptoms and signs of an upper limb deep vein thrombosis (i.e. arm pain and swelling). Compression of the subclavian vein when it passes through the costoclavicular space is the most favored mechanism of thrombosis. [radiopaedia.org]
The pain was not eased with analgesia or any re positioning of the arm. He also described a now constant sensory loss in his lower arm and hand in a widespread diffuse pattern. [thesports.physio]
- Soft Tissue Mass
Venous system of the upper extremity: Soft tissue mass that was caused by fibrosis probably post traumatic causing slow venous flow Venous system of the upper extremity: Subclavian and jugular vein thrombosis in a patient with lung carcinoma and lymph [ultrasoundcases.info]
Neurologic
- Posture Abnormal
He was discharged on coumadin for 6 months and was also enrolled in physical therapy to address postural abnormalities and muscle imbalance by relieving pressure on the thoracic outlet. [cathlabdigest.com]
Workup
Occult cancers may be present in patients with apparently idiopathic DVT, but extensive workup of patients for tumors is not recommended unless patients have major risk factors for cancer or symptoms suggestive of an occult cancer. [merckmanuals.com]
Treatment
TREATMENT Contemporary treatment of PSS varies widely in medical practice. There is no strict consensus on treatment and there are several strategies in parallel use, however most cases rely on conservative treatment. [aspetar.com]
For the treatment of VTE, rivaroxaban is given orally at 15 mg twice a day for the initial 21 days of treatment, followed by once daily at 20 mg per day for long-term treatment. [clevelandclinicmeded.com]
Thrombectomy in the treatment of "effort" thrombosis of the axillary and subclavian veins. J Trauma 1966; 6:107. Lindblad B, Tengborn L, Bergqvist D. [jmscr.igmpublication.org]
Dabigatran 150 mg po bid is given only after an initial 5 to 7 days of treatment with LMWH. Duration of treatment varies. [merckmanuals.com]
Rethrombosis of the vein after previous thrombolytic treatment Endoluminal stent placement to prevent stent fracture from compression against the first rib Possible forms of surgical treatment include the following: Embolectomy Bypass First-rib resection [emedicine.medscape.com]
Prognosis
Treatment and prognosis The thrombus is treated with anticoagulation and catheter-directed thrombolysis, after which surgical decompression is performed. [radiopaedia.org]
What are the symptoms, treatment, and prognosis for phlebitis? Pain, swelling, redness, and tenderness are some common symptoms of phlebitis. [medicinenet.com]
Prognosis Associated with significant morbidity and mortality due to potential risks of pulmonary embolism, post-thrombotic syndrome and loss of vascular access. About 10-20% develop pulmonary embolism [ 9 ]. [patient.info]
The prognosis is poor but not so grave as before antibiotic therapy. thrombosis, coronary, n thrombosis of the coronary artery; also called heart attack and coronary occlusion. thrombosis formation, development, or presence of a thrombus. [medical-dictionary.thefreedictionary.com]
However, its presence should alert hospitalists to the patient's potentially poorer prognosis and prompt evaluation for occult malignancy if no risk factor is present. [the-hospitalist.org]
Etiology
Diligent searches for underlying etiology may be prompt due to the association of malignancies presenting in such a matter in adults. [ispub.com]
There were diagnostic difficulties in determining the definitive etiology of the axillary vein thrombosis. [ingentaconnect.com]
Etiology Trauma (particularly after an operation and parturition), cardiac and vascular disorders, obesity, hereditary coagulation disorders, age over 65, an excess of erythrocytes and of platelets, an overproduction of fibrinogen, and sepsis are predisposing [medical-dictionary.thefreedictionary.com]
Etiology Twenty percent of cases of upper-extremity DVT are of primary etiology. [acphospitalist.org]
Hence, there is an urgent need for increasing physician awareness about risk factors, etiology and the management of this unique and relatively infrequent disorder. [westjem.com]
Epidemiology
Deep vein thrombosis of the axillary-subclavian veins: epidemiologic data, effects of different types of treatment and late sequelae. Eur J Vasc Surg 1988; 2:161. Isma N, Svensson PJ, Gottsäter A, Lindblad B. [jmscr.igmpublication.org]
Epidemiology [ 1 ] There is a low incidence of about 1 per 100,000 people per year. 4-10% of all deep vein thromboses (DVTs) occur in the upper extremity. [patient.info]
Lindblad B, Tengborn L, Bergqvist D: Deep vein thrombosis of the axillary-subclavian veins: epidemiologic data, effects of different types of treatment and late sequelae. Eur J Vasc Surg 1988;2:161–165. [karger.com]
Deep vein thrombosis of the axillary-subclavian veins: epidemiologic data, effects of different types of treatment and late sequelae. Eur J VascSurg. 1988;2(3):161-5. PubMed | Google Scholar Coon WW, Willis PW 3rd. [panafrican-med-journal.com]
Kahn, MD, Centre for Clinical Epidemiology and Community Studies, Jewish General Hospital, Montreal, Canada Acknowledgement: Review of manuscript: Elizabeth Varga, Columbus, OH; Graphic Design: Jeff Harrison, Wilmington, NC. [stoptheclot.org]
Pathophysiology
Critical review of pathophysiologic mechanisms in thoracic outlet syndrome (TOS). Acta Neurochir Suppl 2007; 100:137. Mustafa S, Stein PD, Patel KC, et al. Upper extremity deep venous thrombosis. Chest 2003; 123:1953. Paget, J. [jmscr.igmpublication.org]
In the ED, about half of all patients with PE have a heart rate greater than 100 beats/min. 11 Tachycardia from PE probably results from impaired left ventricular filling, leading to a pathophysiologic process that parallels that of hemorrhagic shock. [clinicalgate.com]
[…] described are estrogen ingestion, pregnancy, intravenous catheters, anti-neoplastic agents, and pacemakers. [2] Although, early clinical recognition of UEDVT is important, diagnosis may be difficult because of its indeterminate cause and indistinct pathophysiology [jmedsoc.org]
Pathophysiology is unclear, but edema may increase soft-tissue pressure beyond capillary perfusion pressures, resulting in tissue ischemia and wet gangrene. [merckmanuals.com]
Pathophysiology The main pathophysiological issue after vascular injuries to the extremities is ischemia. The process is identical to what happens during acute leg ischemia due to embolization. [intranet.tdmu.edu.ua]
Prevention
Diagnosis is usually confirmed with an ultrasound. [7] These DVTs have the potential to cause a pulmonary embolism. [8] Diagnosis [ edit ] Duplex ultrasonography MR Venography Prevention [ edit ] Preventing the development of blood clots in the upper [en.wikipedia.org]
How can you prevent phlebitis? Simple measures can be taken to prevent phlebitis, although, sometimes it cannot be avoided. [medicinenet.com]
The authors found that ultrasound was more cost-effective than VCF, with a cost per PE prevented of $46,3000 versus $97,000. [east.org]
They probably play a role in the prevention of stasis and should be combined with other methods to prevent thromboembolism. [medical-dictionary.thefreedictionary.com]
Prevention Sitting during a long flight or car ride can cause your ankles and calves to swell and increases your risk of thrombophlebitis. To help prevent a blood clot: Take a walk. [mayoclinic.org]