Upper extremity DVT and central venous catheters

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With the increased use of central venous catheters, cardiac pacemakers/defibrillators, and peripherally inserted central catheter (PICC) lines. DVTs in the upper extremities have become more commonplace and require a heightened index of suspicion from clinicians” Grigorian and Nahmias (2018).

Excerpt:

Researchers have extensively studied deep vein thrombosis (DVT) of the lower extremities. With the increased use of central venous catheters, cardiac pacemakers/defibrillators, and peripherally inserted central catheter (PICC) lines. DVTs in the upper extremities have become more commonplace and require a heightened index of suspicion from clinicians. Patients can be otherwise asymptomatic but commonly present with limb swelling. The most serious complication associated with any DVT, including upper extremity DVT, is a pulmonary embolus (PE). Recognition and appropriate intervention may prevent significant patient morbidity and mortality.

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Reference:

Grigorian, A. and Nahmias, J.T. (2018) Deep Venous Thrombosis (DVT), Upper Extremity. StatPearls . Treasure Island (FL): StatPearls Publishing. January 19th.

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