sonographic and clinical features of upper extremity deep venous thrombosis in critical care patients超声和临床特征的危重病患者的上肢深静脉血栓形成.pdfVIP

Hindawi Publishing Corporation Critical Care Research and Practice Volume 2012, Article ID 489135, 8 pages doi:10.1155/2012/489135 Research Article Sonographic and Clinical Features of Upper Extremity Deep Venous Thrombosis in Critical Care Patients Michael Blaivas,1 Konstantinos Stefanidis,2 Serafim Nanas,2 John Poularas,3 Mitchell Wachtel,4 Rubin Cohen,5 and Dimitrios Karakitsos3 1 Department of Emergency Medicine, North Side Hospital Forsyth, Cumming, GA 30041, USA 2 Radiology and 1st Critical Care Departments, Evangelismos University Hospital, 10676 Athens, Greece 3 Intensive Care Unit, General State Hospital of Athens, 10676 Athens, Greece 4 Department of Biostatistics, Texas Tech University, Lubbock, TX 79409, USA 5 Division of Pulmonary and Critical Care Medicine, Hofstra North Shore-LIJ School of Medicine, The Long Island Jewish Medical Center, New York, NY 11549, USA Correspondence should be addressed to Michael Blaivas, mike@ Received 23 February 2012; Accepted 5 March 2012 Academic Editor: Apostolos Papalois Copyright © 2012 Michael Blaivas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background-Aim. Upper extremity deep vein thrombosis (UEDVT) is an increasingly recognized problem in the critically ill. We sought to identify the prevalence of and risk factors for UEDVT, and to characterize sonographically detected thrombi in the critical care setting. Patients and Methods. Three hundred and twenty patients receiving a subclavian or internal jugular central venous catheter (CVC) were included. When an UEDVT was detected, therapeutic anticoagulatio