Abstract:
:Upper extremity vein thrombosis (UE-VT) are more and more frequent pathologies and yet little studied. The aim is to describe the clinical and ultrasound features, UE-VT-related diseases, and the prevalence of pulmonary embolism (PE) and associated deaths.All UE-VT patients diagnosed by Doppler-ultrasound in Nantes University Hospital, from January 2015 to December 2017, were included retrospectively. UE-VT suspicion patterns, clinical features, UE-VT topography, and prevalence of PE and death were analyzed.Seven hundred and fifty-five UE-VT were analyzed, including 427 deep thrombosis (UE-DVT) and 328 superficial thrombosis (UE-SVT). In 86.2% (n = 651) UE-VT were related to endovascular devices. Among these thrombosis, one third is in connection with a PICC LINE and one quarter with a peripheral venous line. Forty nine percent (n = 370) of the patients had solid neoplasia or hematological malignancies. An inflammatory or systemic infectious context was found in 40.8% (n = 308) of the cases. The most frequently observed clinical sign at the UE-VT diagnosis was edema (28.6%). Among the UE-SVT it was the presence of an indurated cord (33.2%) and among the UE-DVT the indication of the Doppler-ultrasound was mainly a suspicion of infection on endovascular device (35.1%). In 10.6% (n = 80) of the cases the UE-VT were asymptomatic. The most frequently thrombosed veins were brachial basilic veins (16.7% of all thrombosed segments) followed by jugular (13%) and subclavian (12.3%) veins; 61.3% (n = 463) of UE-VT were in the right upper extremity; 63.3% (n = 478) UE-VT were occlusive. The occurrence of PE is 4% and the death rate is 10.2%, mainly related to the severe comorbidities of patients with UE-VT.UE-VT occurs in particular clinical contexts (hematological malignancies, solid cancers, systemic infections) and in the majority of endovascular devices (86.2%). The occurrence of PE is low.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Ploton G,Pistorius MA,Raimbeau A,Denis Le Seve J,Bergère G,Ngohou C,Goueffic Y,Artifoni M,Durant C,Gautier G,Connault J,Espitia Odoi
10.1097/MD.0000000000018996subject
Has Abstractpub_date
2020-02-01 00:00:00pages
e18996issue
6eissn
0025-7974issn
1536-5964pii
00005792-202002070-00027journal_volume
99pub_type
杂志文章相关文献
MEDICINE文献大全abstract::Extraintestinal manifestations (EIMs) cause increased morbidity and decreased quality of life in Crohn disease (CD). Ankylosing spondylitis (AS) belongs to EIMs. Very little is known on the clinical features of CD concomitant with AS. This study is to investigate the clinical features of CD patients with AS.We retrosp...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004267
更新日期:2016-07-01 00:00:00
abstract::Craniofacial abnormalities are a known obstructive sleep apnea (OSA) risk factor, but still need to be better characterized. This study investigates the relationship between mandibular width and the risk of developing OSA.We retrospectively analyzed 3D reconstructions of head and neck computed tomography (CT) scans at...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014040
更新日期:2019-01-01 00:00:00
abstract::The Increasing prevalence of type 2 diabetes mellitus (T2DM) has been observed in younger adults. Insulin resistance [IR], decreased first-, second-phase insulin secretion, and glucose effectiveness (GE) (IR, first phase insulin secretion [FPIS], second phase insulin secretion [SPIS], and GE), denoted as diabetes fact...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022215
更新日期:2020-10-23 00:00:00
abstract:RATIONALE:Fulminant macrolide-resistant Mycoplasma pneumoniae pneumonia (MPP) has seldom been reported, and cases of MPP usually show rapid improvement after fluoroquinolones or tetracyclines addition. The purpose of this case report is to highlight the importance of proper selection of antibiotics for treatment of sev...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021128
更新日期:2020-07-10 00:00:00
abstract:RATIONALE:Coronary perforation leading to fistula directed to the right ventricle is a rare complication of percutaneous coronary intervention (PCI). The reported outcomes vary from a stable state to rapid deterioration. PATIENT CONCERNS:An 86-year-old man was diagnosed with non-ST elevation myocardial infarction, and...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014068
更新日期:2019-01-01 00:00:00
abstract::In 2006, a previous study at our institution reported high perioperative and anesthesia-related mortality rates of 21.97 and 1.12 per 10,000 anesthetics, respectively. Since then, changes in surgical practices may have decreased these rates. However, the actual perioperative and anesthesia-related mortality rates in B...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002208
更新日期:2016-01-01 00:00:00
abstract::Previous studies have reported that intraoperative dexmedetomidine has morphine-sparing effects in patient-controlled analgesia (PCA). The present study was designed to investigate the possible sex differences in the morphine-sparing effects of intraoperative dexmedetomidine following general anesthesia. A total of 22...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000003619
更新日期:2016-05-01 00:00:00
abstract:RATIONALE:Subcutaneous implantable electrocardiographs are highly effective in detecting covert atrial fibrillation (AF) in cryptogenic stroke. However, these invasive devices are not indicated for all cryptogenic stroke patients, and noninvasive improvements over conventional Holter-type ambulatory electrocardiography...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005995
更新日期:2017-02-01 00:00:00
abstract::Surgical-site infection (SSI) is a common complication in orthopedic surgery; however, SSI after surgically managed distal femur fractures was not well studied. The aim of this study was to investigate the incidence of SSI and identify some modifiable and nonmodifiable risk factors.The patients' electronic medical rec...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014547
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:With the improvement of anesthesia and surgical techniques, supraglottic device with assist ventilation under general anesthesia (GA) combined with nerve block is gradually applied to video-assisted thoracoscopic surgery. However, the safety of assist ventilation has not been fully confirmed, and a large num...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000019240
更新日期:2020-03-01 00:00:00
abstract::Impact of arterial stiffness on aortic morphology has not been well evaluated. We sought to investigate the association of brachial-ankle pulse wave velocity (baPWV) with aortic calcification and tortuosity.A total of 181 patients (65.4 ± 10.4 years, males 59.7%) who underwent computed tomographic angiography and baPW...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016802
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Myasthenia gravis (MG) is a progressive autoimmune disease that occurs as a result of the failure of neuromuscular transmission and is characterized by muscle weakness. There has been evidence on the correlations between the genetic predisposition of cytotoxic T lymphocyte and the antigen-4 (CTLA-4) and MG. ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010620
更新日期:2018-05-01 00:00:00
abstract:RATIONALE:Coronavirus disease 2019 (COVID-19), now a global pandemic, has spread to a large number of countries around the world. Symptoms of COVID-19 can range from mild to severe, including fever, cough, shortness of breath, and pneumonia. Some cases even remain asymptomatic. Data regarding the epidemiological and cl...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021427
更新日期:2020-08-14 00:00:00
abstract:BACKGROUND:Several clinical studies have reported that inflammation factors (IF) are associated with Mycoplasma pneumoniae in children. However, no study systematically investigated the association between IF and M pneumoniae in pediatric population. Thus, this study will explore the association between IF and pediatri...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000015118
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Differential diagnosis of hypokalemia and adrenocorticotropic hormone (ACTH)-dependent Cushing's syndrome often presents challenging in endocrinology and requires careful clinical, biochemical, radiological, and pathological investigations. Hypokalemia is a common abnormality and systematic approach is requi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005046
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Intramedullary cervical spinal cord teratomas (ICTs) are extremely rare, and diagnosis and treatment are challenging. We conducted a systematic review of the literature on the diagnosis and treatment of ICT. METHOD:The presentation, imaging manifestations, diagnosis, management, surgery findings, prognosis ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020107
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:With advancements in our understanding of meniscal function, treatment options for meniscal injuries have evolved considerably over the past few decades. The aim of the current study was to compare the all-inside and inside-out techniques with regard to retear rate, functional outcomes, and perioperative com...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020688
更新日期:2020-07-02 00:00:00
abstract:BACKGROUND:Canagliflozin is a new SGLT2 inhibitor which has been approved as an adjunct to diet and exercise for the treatment of adults with type 2 diabetes (T2D) mellitus in more than 30 countries. To evaluate the efficacy and safety of canagliflozin in patients with T2D, we carried out a meta-analysis of phase III c...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000005473
更新日期:2016-11-01 00:00:00
abstract::About 77.9 million (1 in 4) American adults have high blood pressure. High blood pressure is the primary cause of left ventricular hypertrophy (LVH), which represents a strong predictor of future heart failure and cardiovascular mortality. Previous studies have shown an altered metabolic profile in hypertensive patien...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004965
更新日期:2016-11-01 00:00:00
abstract:RATIONALE:Intraductal papillary mucinous neoplasms of the pancreas (IPMNs) are benign cystic tumors with a relevant risk of malignant transformation over time. Currently, follow-up after surgical resection of benign IPMNs remains controversial. PATIENT CONCERNS:This is a case report of a 68-year-old male who underwent...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009894
更新日期:2018-02-01 00:00:00
abstract::Several studies have pointed out a significant association between rheumatoid arthritis (RA) and accelerated atherosclerosis. At the best of our knowledge, no such study has been carried out in a large Italian series and, in this study, we aimed to investigate the prevalence of both subclinical atherosclerosis and his...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000008180
更新日期:2017-10-01 00:00:00
abstract::This study aimed to evaluate the characteristics of parathyroid carcinoma and to validate the diagnostic value of Tc-methoxyisobutylisonitrile (MIBI) single photon emission computed tomography/x-ray computed tomography (SPECT/CT) for differentiating between parathyroid carcinoma and hyperparathyroidism. Four consecuti...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012578
更新日期:2018-10-01 00:00:00
abstract:RATIONALE:West syndrome (WS) is an age-dependent epileptic encephalopathy that is characterized by intractable epileptic seizures, hypsarrhythmia, and observed through electroencephalogram (EEG) and significant neurodevelopmental regression. The spontaneous remission of epileptic seizure is clinically rare and has not ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016441
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Recently, many kinds of cages for cervical fusion have been developed to avoid the related complications caused by tricortical iliac crest graft. The existing literature has reported the excellent clinical efficacy and superior fusion rate. However, various types of cages have their own disadvantages. Which ...
journal_title:Medicine
pub_type: 临床试验,杂志文章
doi:10.1097/MD.0000000000017935
更新日期:2019-11-01 00:00:00
abstract::Single-nucleotide polymorphisms (SNPs) in microRNAs (miRNAs) have been suggested to influence the occurrence and progression of cancer through altering the expression and biological function of miRNAs. The aim of this study was to investigate whether the potential functional SNPs in MIR196A2 promoter had effect on the...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000173
更新日期:2014-11-01 00:00:00
abstract::The free antiretroviral therapy (ART) program in India has scaled up to register second largest number of people living with HIV/AIDS across the globe. To assess the effectiveness of current first-line regimen we estimated virological suppression on completion of 1 year of ART. The study describes the correlates of vi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004886
更新日期:2016-09-01 00:00:00
abstract:RATIONALE:Portal vein thrombosis is defined as any thrombosis that develops in the portal vein system. It is considered a very rare and extremely lethal complication of hepatopancreatobiliary surgery. PATIENT CONCERNS:Acute portal vein thrombosis after hepatectomy in patients with hepatolithiasisis very rare. Acute po...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011174
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:The relative efficacy of operative and nonoperative treatments for the displaced intra-articular calcaneal fractures (DIACF) remains uncertain. OBJECT:We conducted a meta-analysis to compare the effectiveness of operative and nonoperative treatments in treating patients with DIACF. METHODS:Databases includ...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000009027
更新日期:2017-12-01 00:00:00
abstract::We aimed to investigate the efficacy and safety of de-escalation empirical therapy for controlling infection in patients with severe aplastic anaemia (SAA) treated with antithymocyte globulin (ATG). Eighty-seven ATG-treated SAA patients who had microbiological culture-confirmed infections from 2006 to 2015 in our cent...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005905
更新日期:2017-02-01 00:00:00
abstract:RATIONALE:Intraductal tubulopapillary neoplasm (ITPN) is a rare type of pancreatic epithelial neoplasm. We report 2 cases of ITPN and detail the imaging findings. PATIENT CONCERNS:The 1st case was a 36-year-old woman who complained of jaundice, yellow urine and diarrhea. She accepted ultrasound, computed tomography (C...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014426
更新日期:2019-02-01 00:00:00