Upper extremity deep venous thrombosis (UEDVT) is a lesser-known phenomenon than its lower extremity equivalent, accounting for a smaller proportion of venous thromboembolic events. Despite its modest prevalence, the condition merits attention due to its potential complications, including pulmonary embolism and chronic venous insufficiency. Whilst lower extremity deep vein thrombosis (DVT) cases frequently take the centre stage in clinical discourse, knowing UEDVT's complexities is critical for earlier intervention and improved patient outcomes. The prevalence of secondary UEDVT has been on the rise, attributed to the widespread utilisation of central venous catheters in patients with cancer and other chronic illnesses. We report a case of 51-year-old female with no co-morbidities diagnosed with UEDVT in emergency department (ED) and its pathway to successful management.
Singh O, Juneja D. Upper extremity deep vein thrombosis: An intensivist's perspective. World J Crit Care Med 2023;12(3):130–138. DOI: 10.5492%2Fwjccm.v12.i3.1.
Previtali E, Bucciarelli P, Passamonti SM, et al. Risk factors for venous and arterial thrombosis. Blood Transfus 2011;9(2):120–138. DOI: 10.2450%2F2010.0066-10.
Hutten BA, Prins MH, Gent M, et al. Incidence of recurrent thromboembolic and bleeding complications among patients with venous thromboembolism in relation to both malignancy and achieved international normalized ratio: A retrospective analysis. J Clin Oncol 2000;18:3078–3083. DOI: 10.1200/JCO.2000.18.17.3078.
Kucher N. Clinical practice. Deep-vein thrombosis of the upper extremities. N Engl J Med 2011;364(9):861–869. DOI: 10.1200/JCO.2000.18.17.3078.
Muñoz FJ, Mismetti P, Poggio R, et al. RIETE Investigators. Clinical outcome of patients with upper-extremity deep vein thrombosis: Results from the RIETE Registry. Chest 2008;133(1):143–148. DOI: 10.1378/chest.07-1432.
Joffe HV, Kucher N, Tapson VF, et al. Deep Vein Thrombosis (DVT) FREE Steering Committee. Upper-extremity deep vein thrombosis: A prospective registry of 592 patients. Circulation 2004;110(12): 1605–1611. DOI: 10.1161/01.cir.0000142289.94369.d7.
Vedantham S, Piazza G, Sista AK, et al. Guidance for the use of thrombolytic therapy for the treatment of venous thromboembolism. J Thromb Thrombolysis 2016;41(1):68–80. DOI: 10.1007/s11239-015-1318-z.
