Document Detail


Pulmonary embolism from axillosubclavian thrombosis on a rehabilitation unit: case report.
MedLine Citation:
PMID:  9084357     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report presents a case of angiogram-confirmed pulmonary emboli (PE) from upper extremity deep venous thrombosis (UE DVT) in a patient with Guillain-Barré syndrome. UE DVT has been rarely reported in the rehabilitation literature and it is not described in many standard references in the field. Risk factors for UE DVT include central venous catheterization (CVC), stasis, and hypercoagulability. Rehabilitation patients commonly demonstrate these risk factors, as well as unilateral limb swelling and pain. Although early reports emphasized the rarity of PE from UE DVT, it is now reported in roughly 12% of cases, and there may be an even higher incidence in CVC-related UE DVT. This report includes a review of etiologic, anatomic, diagnostic, and therapeutic considerations, and concludes with a discussion of the potential underrecognized significance of UE DVT in the general rehabilitation population.
Authors:
D J Kissel
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  78     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1997-04-29     Completed Date:  1997-04-29     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  319-23     Citation Subset:  AIM; IM    
Affiliation:
Department of Physical Medicine and Rehabilitation, Bethesda Hospitals, Cincinnati, OH 45208, USA.
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MeSH Terms
Descriptor/Qualifier:
Angiography
Anticoagulants / therapeutic use
Axillary Vein*
Heparin / therapeutic use
Humans
Male
Middle Aged
Polyradiculoneuropathy / complications*
Pulmonary Embolism / drug therapy,  etiology*,  radiography
Subclavian Vein*
Thrombosis / complications*,  drug therapy
Chemical
Reg. No./Substance:
0/Anticoagulants; 9005-49-6/Heparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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