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:: Volume 31, Issue 4 (WINTER 2021) ::
MEDICAL SCIENCES 2021, 31(4): 459-463 Back to browse issues page
Upper limb deep vein thromboembolism: a case report
Azin Hossein Dokht1, Hesam Aldin Varpaei2 , Mostafa Mohammadi 3, Hamidreza Amiri4
1- MD, Resident of Anesthesiology, Tehran University of Medical sciences, Tehran, Iran
2- BS in Nursing, Islamic Azad University Tehran Medical Sciences, Tehran, Iran
3- MD, Associate Professor, Department of Anesthesiology and Critical Care, Tehran University of Medical sciences, Tehran, Iran , mohammady_mm@tums.ac.ir
4- MD, Associate Professor, Department of Anesthesiology and Critical Care, Tehran University of Medical sciences, Tehran, Iran
Abstract:   (881 Views)
Upper limbs deep vein thrombosis is a rare event in patients, although increasing incidence is seen due to higher cancer diagnosis rate and the use of various vascular catheters. A 58-year-old man with a history of anemia was scheduled for radical prostatectomy due to prostate adenocarcinoma. The patient underwent surgery under general anesthesia. After surgery, he was transferred to the intensive care unit. At the beginning of admission, right limb edema in the distal part of the right limb (hands and wrists) was observed that was accompanied by cyanosis and pain. The patient was diagnosed with deep vein thrombosis and was treated with anticoagulant drugs. He was discharged after 4 days in a good general condition and uneventfully. This report shows that patients with venous catheters, especially patients who are candidates for surgery, are at high risk of deep vein thrombosis and need careful monitoring after surgery.
Keywords: Deep vein thrombosis, Anesthesia, Cancer, Surgery, Heparin, Warfarin
Full-Text [PDF 414 kb]   (355 Downloads)    
Semi-pilot: Case Report | Subject: Anesthesiology
Received: 2021/07/5 | Accepted: 2021/09/25
1. 1. Martinez C, Cohen AT, Bamber L, Rietbrock S. Epidemiology of first and recurrent venous thromboembolism: a population-based cohort study in patients without active cancer. Thromb Haemost 2014;112:255-63. [DOI:10.1160/TH13-09-0793]
2. Baarslag HJ, Koopman MM, Reekers JA, van Beek EJ. Diagnosis and management of deep vein thrombosis of the upper extremity: a review. Eur Radiol 2004 ;14:1263-74. [DOI:10.1007/s00330-004-2252-1]
3. Prandoni P, Polistena P, Bernardi E, Cogo A, Casara D, Verlato F, et al. Upper-extremity deep vein thrombosis: risk factors, diagnosis, and complications. Arch Int Med 1997;157:57-62. [DOI:10.1001/archinte.1997.00440220061008]
4. Girolami A, Prandoni P, Zanon E, Bagatella P, Girolami B. Venous thromboses of upper limbs are more frequently associated with occult cancer as compared with those of lower limbs. Blood coagulation & fibrinolysis: J Thromb Haemost 1999;10:455-7. [DOI:10.1097/00001721-199912000-00001]
5. Sajid MS, Ahmed N, Desai M, Baker D, Hamilton G. Upper limb deep vein thrombosis: a literature review to streamline the protocol for management. Acta Haematologica 2007;118:10-8. [DOI:10.1159/000101700]
6. Leebeek FW, Kappers-Klunne MC, Gómez-García EB. Deep venous thrombosis of the arm: etiology, diagnosis and treatment. Ned Tijdschr Geneeskd 2000;144:361-4. [In Dutch]
7. Adelborg K, Horváth-Puhó E, Sundbøll J, Prandoni P, Ording A, Sørensen HT. Risk and prognosis of cancer after upper-extremity deep venous thrombosis: A population-based cohort study. Thromb Res 2018;161:106-110. [DOI:10.1016/j.thromres.2017.11.017]
8. Tyritzis SI, Wallerstedt A, Steineck G, Nyberg T, Hugosson J, Bjartell A, et al. Thromboembolic complications in 3,544 patients undergoing radical prostatectomy with or without lymph node dissection. J Urol 2015;193:117-25. [DOI:10.1016/j.juro.2014.08.091]
9. Grier AJ, Bala A, Penrose CT, Seyler TM, Bolognesi MP, Garrigues GE. Analysis of complication rates following perioperative transfusion in shoulder arthroplasty. J Shoulder Elbow Surg 2017;26:1203-1209. [DOI:10.1016/j.jse.2016.11.039]
10. Ghazi L, Schwann TA, Engoren MC, Habib RH. Role of blood transfusion product type and amount in deep vein thrombosis after cardiac surgery. Thromb Res 2015;136:1204-10. [DOI:10.1016/j.thromres.2015.10.041]
11. ALKindi SY, Chai-Adisaksopha C, Cheah M, Linkins LA. Management of cancer-associated upper extremity deep vein thrombosis with and without venous catheters at a tertiary care center. Thromb Res 2018;166:92-95. [DOI:10.1016/j.thromres.2018.03.020]
12. Gnannt R, Waespe N, Temple M, Amirabadi A, Liu K, Brandão LR, et al. Increased risk of symptomatic upper-extremity venous thrombosis with multiple peripherally inserted central catheter insertions in pediatric patients. Pediatr Radiol 2018;48:1013-1020. [DOI:10.1007/s00247-018-4096-x]
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Hossein Dokht A, Varpaei H A, Mohammadi M, Amiri H. Upper limb deep vein thromboembolism: a case report. MEDICAL SCIENCES. 2021; 31 (4) :459-463
URL: http://tmuj.iautmu.ac.ir/article-1-1902-en.html

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Volume 31, Issue 4 (WINTER 2021) Back to browse issues page
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی واحد پزشکی تهران Medical Science Journal of Islamic Azad Univesity - Tehran Medical Branch
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