title: Axillary vein thrombosis induced by an increasingly popular oscillating dumbbell exercise device: a case report.
abstract: A 53 year-old male presented with a one-day history of a swollen arm and dull, aching pain in the right upper extremity. The patient reported commencing exercising daily over the prior week with a modified, oscillating dumbbell; commonly referred to as a Shake Weight. Imaging revealed an occlusive thrombus in the right axillary, proximal brachial and basilic veins. The patient was treated with a 24-hour tPA infusion followed by mechanical thrombectomy, balloon angioplasty, and stent placement for a residual thrombus and stenosis. The patient was discharged the following day on warfarin and aspirin. This is the first report of effort-induced thrombosis of the upper extremity following the use of a modified, oscillating dumbbell. Due to the growing popularity of modified dumbbells and the possible risk for axillary vein thrombosis, consideration should be made to caution consumers of this potential complication.
authors.affiliation: Arizona Heart Hospital, 1930 East Thomas Road, Phoenix, AZ, 85016, USA. hanishennib@email.com.
authors.forename: Hani
authors.initials: H
authors.lastname: Shennib
authors.affiliation: University of Arizona, College of Medicine-Phoenix, 550 East Van Buren Street, Phoenix, AZ, 85004, USA. kellihickle@email.arizona.edu.
authors.forename: Kelli
authors.initials: K
authors.lastname: Hickle
authors.affiliation: University of Arizona, College of Medicine-Phoenix, 550 East Van Buren Street, Phoenix, AZ, 85004, USA. bradbowles@email.arizona.edu.
authors.forename: Bradley
authors.initials: B
authors.lastname: Bowles
mesh_terms: D001367:Axillary Vein; D015444:Exercise; D005080:Exercise Test / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D013177:Sports; D017131:Thrombectomy; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery