Upper extremity deep vein thrombosis (UEDVT) represents less than 10 % of thromboembolic events, but has been associated with higher incidence of asymptomatic pulmonary embolism. Data regarding UEDVT and its treatment is limited. Our objective was to investigate UEDVT incidence, diagnosis, and treatment in our bariatric patient population. We conducted a retrospective review of patients undergoing laparoscopic bariatric surgery at our institution. Variables analyzed included patient demographics, body mass index (BMI), history of venous thromboembolic event (VTE), type of procedure, and other comorbidities. One thousand five hundred three patients were included in the study. Twenty patients developed VTE events, of which five suffered UEDVT. Although infrequent, awareness of UEDVT is necessary in order to initiate treatment in a timely fashion and to prevent major complications.
Upper extremity deep vein thrombosis Bariatric surgery Laparoscopic Venous thromboembolic event
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Raul Rosenthal has received speaking honoraria from Ethicon Endosurgery, and educational grants from Karl Storz Endoscopy, Baxter, Ethicon, and Covidien. Fernando M. Safdie, Jessica Ardila-Gatas, Fernando Dip, Savannah Moon, Emanuele Lo Menzo, and Samuel Szomstein have nothing to disclose.
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This article does not contain any studies with human participants or animals performed by any of the authors.
Kearon C, Kahn SR, Agnelli G, et al. Antithrombotic therapy for venous thromboembolic disease: American college of chest physicians evidence-based clinical practice guidelines (8th Edition). Chest. 2008;133(6 Suppl):454S–545.CrossRefPubMedGoogle Scholar
Grant JD, Stevens SM, Woller SC, et al. Diagnosis and management of upper extremity deep-vein thrombosis in adults. Thromb Haemost. 2012;108(6):1097–108.CrossRefPubMedGoogle Scholar
Kerr TM, Lutter KS, Moeller DM, et al. Upper extremity venous thrombosis diagnosed by duplex scanning. Am J Surg. 1990;160(2):202–6.CrossRefPubMedGoogle Scholar
Prandoni P, Polistena P, Bernardi E, et al. Upper-extremity deep vein thrombosis. Risk factors, diagnosis, and complications. Arch Intern Med. 1997;157(1):57–62.CrossRefPubMedGoogle Scholar
Sapala JA, Wood MH, Schuhknecht MP, et al. Fatal pulmonary embolism after bariatric operations for morbid obesity: a 24-year retrospective analysis. Obes Surg. 2003;13(6):819–25.CrossRefPubMedGoogle Scholar
Joffe HV, Kucher N, Tapson VF, et al. Deep vein thrombosis (DVT) FREE steering committee. Upper-extremity deep vein thrombosis: a prospective registry of 592 patients. Circulation. 2004;110(12):1605–11.CrossRefPubMedGoogle Scholar
Mahan C, Holdsworth M, Welch S, et al. Deep-vein thrombosis: a United States cost model for a preventable and costly adverse event. Thromb Haemost. 2011;106:405–15.CrossRefPubMedGoogle Scholar
Blaivas M, Stefanidis K, Nanas S, et al. Sonographic and clinical features of upper extremity deep venous thrombosis in critical care patients. Crit Care Res Pract. 2012;2012:489135.PubMedCentralPubMedGoogle Scholar
Adedeji R, Oragui E, Khan W, et al. The importance of correct patient positioning in theatres and implications of mal-positioning. J Perioper Pract. 2010;20(4):143–7.PubMedGoogle Scholar