Document Detail

Recurrent forearm thrombophlebitis after transvenous permanent pacemaker insertion.
MedLine Citation:
PMID:  8164348     Owner:  NLM     Status:  MEDLINE    
This report describes a 69-year-old Japanese woman with bilateral forearm thrombophlebitis that developed soon after transvenous permanent pacemaker insertion. Intravenous administration of urokinase and heparin rapidly resolved fever, painful forearm swelling and inflammatory findings. Digital subtraction venograms revealed a brachiocephalic vein thrombosis. A ten-month treatment with warfarin and ticlopidine resulted in the complete restoration of venous flow. Although thrombophlebitis associated with transvenous permanent pacemaker insertion has a relatively low incidence (0.3%), prompt diagnosis and treatment with anticoagulant and/or thrombolytic agents are important for the late clinical outcome in cases with deep venous thrombosis.
M Noma; Y Ueno; A Mizushima; A Sese; Y Kikuchi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Japanese heart journal     Volume:  34     ISSN:  0021-4868     ISO Abbreviation:  Jpn Heart J     Publication Date:  1993 Nov 
Date Detail:
Created Date:  1994-05-20     Completed Date:  1994-05-20     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0401175     Medline TA:  Jpn Heart J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  809-13     Citation Subset:  IM    
Department of Internal Medicine, Kyushu Kosei-Nenkin Hospital, Kitakyushu, Japan.
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MeSH Terms
Brachiocephalic Veins
Catheterization, Central Venous / adverse effects
Electrodes, Implanted / adverse effects
Forearm / blood supply*
Heparin / therapeutic use
Pacemaker, Artificial / adverse effects*
Thrombolytic Therapy
Thrombophlebitis / drug therapy,  etiology*
Thrombosis / etiology
Urokinase-Type Plasminogen Activator / therapeutic use
Reg. No./Substance:
9005-49-6/Heparin; EC Plasminogen Activator

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