title: Management of upper extremity deep venous thrombosis in a hospice patient.
abstract: BACKGROUND
  In this case report, upper extremity deep venous thrombosis (UEDVT) is discussed with special attention to the diagnosis, treatment, and prevention in palliative care patients.
  
  
  METHODS
  A 43-year-old female with a history of metastatic breast cancer presented with a UEDVT. Standard anticoagulation was unsuccessful, so after a complete discussion about the treatment options, alternative therapy was used for clot lysis.
  
  
  CONCLUSIONS
  Aggressive treatment of UEDVT in a palliative care setting has the potential for improving the quality of life, yet because of the increased risk of complications and philosophy of palliative medicine, the treatment strategy for each patient should be carefully considered.
authors.affiliation: 1 Boonshoft School of Medicine, Wright State University , Dayton, Ohio.
authors.forename: Mary
authors.initials: M
authors.lastname: Runkle
authors.forename: Priti P
authors.initials: PP
authors.lastname: Parikh
authors.forename: Garietta
authors.initials: G
authors.lastname: Falls
mesh_terms: D000328:Adult; D000792:Angiography; D000800:Angioplasty, Balloon; D000925:Anticoagulants / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D005260:Female; D063285:Fibrin Clot Lysis Time; D006738:Hospices; D006801:Humans; D012307:Risk Factors; D017131:Thrombectomy; D034941:Upper Extremity / Q000098:blood supply*; D020246:Venous Thrombosis / Q000188:drug therapy* / Q000601:surgery*
chemical_list: D000925:Anticoagulants