Management of catheter-associated upper extremity deep venous thrombosis.
Central venous catheters or peripherally inserted central catheters are major risk factors for upper extremity deep venous thrombosis (UEDVT). The body and quality of literature evaluating catheter-associated (CA) UEDVT have increased, yet strong evidence on screening, diagnosis, prevention, and optimal treatment is limited. We herein review the current evidence of CA UEDVT that can be applied clinically. Principally, we review the anatomy and definition of CA UEDVT, identification of risk factors, utility of duplex ultrasound as the preferred diagnostic modality, preventive strategies, and an algorithm for management of CA UEDVT.
Division of Vascular Surgery, Department of Surgery, Oregon Health and Science University, Portland, Ore.
Jeffrey D
JD
Crawford
Division of Vascular Surgery, Department of Surgery, Oregon Health and Science University, Portland, Ore.
Timothy K
TK
Liem
Division of Vascular Surgery, Department of Surgery, Oregon Health and Science University, Portland, Ore. Electronic address: monetag@ohsu.edu.
Gregory L
GL
Moneta
D002406:Catheterization, Peripheral / Q000009:adverse effects*; D062905:Central Venous Catheters / Q000009:adverse effects*; D006801:Humans; D012307:Risk Factors; D056824:Upper Extremity Deep Vein Thrombosis / Q000628:therapy*