Thromboses veineuses du membre supérieur : prise en charge hospitalière et devenir

Abstract : Introduction: the epidemiology of upper limb venous thrombosis (ULVT) is unknown. Objectives: to describe the epidemiological, clinical and etiological characteristics of hospitalized patients who have presented a ULVT. Then, describe the evolution and therapeutic management upper extremity deep venous thrombosis (UEDVT). Method: patients hospitalized at CHU de Caen between November 2015 and December 2017 who received a doppler ultrasound for suspicion of ULVT were included retrospectively. Age, sex, symptoms, risk factors, localization, treatments, and complications occurring within 3 months were analyzed. Results: among the 497 suspicions of TVMS included, 93 DVT and 138 superficial venous thrombosis were diagnosed. 8 (3.4%) were complicated by pulmonary embolism (EP). 77% of DVT had occurred on central venous device, 61% during neoplasia, 40% during sepsis. Exept for obstructive syndrome, no other clinical component was significantly associated with the presence of a DVT. Of the patients with DVT, 41 (44%) had a varicose control within 3 months, 22 (24%) had died, 30 (32%) were lost in sight. Of the 41 followed, 3 had an extension, 1 a recurrence, and 5 had developed a post-thrombotic syndrome (SPT). 3 had a major bleeding. Conclusion: most of the UEDVT occur on a central venous device. Neoplasia and sepsis are the most commonly implicated. The prevalence of EP and associated SPT is low.
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Master Thesis
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Camille Pottier Abou Kassem. Thromboses veineuses du membre supérieur : prise en charge hospitalière et devenir. Médecine humaine et pathologie. 2018. ⟨dumas-02103064⟩

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