.. .. Discussion, 27 1. Réponse à l'objectif de l'étude et validité externe

L. Biais-de-notre-Étude and .. .. ,

.. .. Originalité-de-l'étude-et-perspectives,

.. .. Conclusion,

.. .. Bibliographie, la recherche bibliographique, nous avons utilisé : la base de données Pub Med, EM premium

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, « Par délibération de son Conseil en date du 10 Novembre 1972, l'Université n'entend donner

L. Vu and V. U. Président-de-thèse,

A. Le-doyen-de-l'ufr-de-santé and . De-soutenance, AUTEUR : Camille POTTIER ABOU KASSEM Thromboses veineuses du membres supérieur : Prise en charge et devenir. Introduction : L'épidémiologie de la thrombose veineuse du membre supérieur (TVMS) est méconnue, 2018.

, Objectifs : Décrire les caractéristiques épidémiologiques, cliniques et étiologiques de patients hospitalisés ayant présenté une TVMS. Puis, décrire l'évolution

, L'âge, le sexe, les symptômes, les facteurs favorisants, la localisation, les traitements et les complications survenues à 3 mois ont été analysés. Résultats : Parmi les 497 suspicions de TVMS incluses, 93 TVP et 138 TV superficielles ont été diagnostiquées. 8 (3,4%) se sont compliquées d'embolie pulmonaire (EP). 77% des TVP étaient survenues sur dispositif veineux central, Méthode : Les patients hospitalisés au CHU de Caen entre Novembre 2015 et Décembre 2017 ayant bénéficié d'un écho-doppler pour suspicion de TVMS ont été inclus rétrospectivement, p.41

, 44%) avaient bénéficié d'un contrôle écho-doppler dans les 3 mois, 22 (24%) étaient décédés, 30 (32%) étaient

, Conclusion : L'essentiel des TVPMS surviennent sur dispositif endo-veineux central. La néoplasie et les sepsis sont les affections les plus souvent impliquées. La prévalence des EP et des SPT associée est faible

. Mots-clés, cathéter veineux central, embolie pulmonaire, syndrome post-thrombotique Hospital management and patients outcomes with upper extremity vein thrombosis. 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, Thrombose veineuse du membre supérieur

, 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, who received a doppler ultrasound for suspicion of ULVT were included retrospectively, 2015.