Upper limb deep venous thrombosis

被引:4
作者
Benhamou, Y. [1 ]
Marie, I. [1 ]
David, N. [2 ]
Gbaguidi, X. [1 ]
Cailleux, N. [1 ]
Peillon, C. [2 ]
Plissonnier, D. [2 ]
Levesque, H. [1 ]
机构
[1] CHU Rouen, Dept Med Interne, F-76031 Rouen, France
[2] CHU Rouen, Serv Chirurg Vasc & Thorac, F-76031 Rouen, France
来源
REVUE DE MEDECINE INTERNE | 2011年 / 32卷 / 09期
关键词
Thoracic outlet syndrome; Thrombophilia; Central venous catheter; AXILLARY VEIN-THROMBOSIS; PAGET-SCHROETTER-SYNDROME; THORACIC OUTLET SYNDROME; LONG-TERM USE; UPPER-EXTREMITY; RISK-FACTORS; PULMONARY-EMBOLISM; POSTTHROMBOTIC SYNDROME; CT VENOGRAPHY; CANCER;
D O I
10.1016/j.revmed.2010.08.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Deep venous thrombosis of the upper limb has become recently more common because of the increasing use of central venous catheters. Diagnosis is sometimes difficult. Main causes are pacemaker and central venous catheter related thrombosis. The thoracic outlet syndrome is a rare cause and requires a multidisciplinary diagnostic and therapeutic approach. A systematic research of a thrombophilic disorder is not recommended because of the weak therapeutic impact. Duration of anticoagulation is similar to lower limb deep venous thrombosis despite a lower rate of recurrence. Therapeutic alternatives recently developed include thrombolysis, angioplasty and vein stenting. To date, no randomized controlled studies have evaluated the efficacy and safety of the various treatments that have been proposed for upper limb deep venous thrombosis. (C) 2010 Societe nationale francaise de medecine interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:567 / 574
页数:8
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