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Extensive lower-extremity DVT can even reach into the inferior vena cava (in the abdomen). [104] Upper extremity DVT most commonly affects the subclavian, axillary, and jugular veins. [11] The process of fibrinolysis, where DVT clots can be dissolved back into the blood, acts to temper the process of thrombus growth. [105] This is the preferred ...
Paget–Schroetter disease (which evolved from a venous thoracic outlet syndrome) is a form of upper extremity deep vein thrombosis (DVT), a medical condition in which blood clots form in the deep veins of the arms. These DVTs typically occur in the axillary and/or subclavian veins. [1]
Superficial venous thrombosis or phlebitis affects the superficial veins of the upper or lower extremity and only require anticoagulation in specific situations, and may be treated with anti-inflammatory pain relief only. There are other less common forms of venous thrombosis, some of which can also lead to pulmonary embolism.
Paget-Schroetter disease or upper extremity DVT (UEDVT) is the obstruction of an arm vein (such as the axillary vein or subclavian vein) by a thrombus. The condition usually comes to light after vigorous exercise and usually presents in younger, otherwise healthy people. Men are affected more than women. [4]
The risk of deep vein thrombosis can be estimated by Wells score.. Lower limbs venous ultrasonography is also indicated in cases of suspected pulmonary embolism where a CT pulmonary angiogram is negative but a high clinical suspicion of pulmonary embolism remains. [1]
Patients with upper-extremity DVT may develop upper-extremity PTS, but the incidence is lower than that for lower-extremity PTS (15–25%). [22] [23] No treatment or prevention methods are established, but patients with upper-extremity PTS may wear a compression sleeve for persistent symptoms. [20]
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