TY - JOUR
T1 - Upper extremity deep venous thrombosis prophylaxis after elective upper extremity surgery
AU - Sindhu, Kunal K.
AU - Cohen, Brian
AU - Blood, Travis
AU - Gil, Joseph A.
AU - Owens, Brett
N1 - Publisher Copyright:
© 2018 Slack Incorporated. All rights reserved.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Historically, upper extremity deep venous thromboses (DVTs) have been rare; however, their incidence has increased as awareness has increased. Patients who develop upper extremity DVTs often have multiple comorbidities. However, in the past decade, studies have found a small risk of upper extremity DVTs associated with orthopedic procedures involving the upper extremity. The risk of complications following a DVT, including postthrombotic syndrome and pulmonary embolism, is substantially higher with a DVT of the upper extremity compared with a DVT of the lower extremity. Furthermore, there is no consensus regarding the role and efficacy of prophylactic measures in preventing upper extremity DVT after upper extremity surgery. This article discusses the use of prophylactic agents after elective upper extremity surgery, with an emphasis on the efficacy of commonly used interventions.
AB - Historically, upper extremity deep venous thromboses (DVTs) have been rare; however, their incidence has increased as awareness has increased. Patients who develop upper extremity DVTs often have multiple comorbidities. However, in the past decade, studies have found a small risk of upper extremity DVTs associated with orthopedic procedures involving the upper extremity. The risk of complications following a DVT, including postthrombotic syndrome and pulmonary embolism, is substantially higher with a DVT of the upper extremity compared with a DVT of the lower extremity. Furthermore, there is no consensus regarding the role and efficacy of prophylactic measures in preventing upper extremity DVT after upper extremity surgery. This article discusses the use of prophylactic agents after elective upper extremity surgery, with an emphasis on the efficacy of commonly used interventions.
UR - http://www.scopus.com/inward/record.url?scp=85041191109&partnerID=8YFLogxK
U2 - 10.3928/01477447-20170824-04
DO - 10.3928/01477447-20170824-04
M3 - Review article
C2 - 28877326
AN - SCOPUS:85041191109
SN - 0147-7447
VL - 41
SP - 21
EP - 27
JO - Orthopedics
JF - Orthopedics
IS - 1
ER -