Abstract
The purpose of this study was to determine the immediate and long-term complications of subclavian vein thrombosis occurring during prolonged catheterization for parenteral nutrition. Ten cases of subclavian vein thrombosis documented by venography were initially treated by catheter removal, systemic heparin, and upper extremity elevation. Although fever was common (N = 9), only three patients had positive blood or catheter cultures and only one patient required antibiotic therapy. Nonfatal pulmonary embolism was suspected by lung scan in only one patient. After a follow-up period of six months to five years (mean two years), no long-term disability, such as arm swelling or pain, was identified. We conclude that immediate and late sequelae of catheter-associated subclavian vein thrombosis are minimized by prompt removal of the catheter, systemic administration of heparin to prevent clot propagation and embolism, and arm elevation to reduce early upper extremity edema.
Citations
Nov 1, 1990·Journal of the American College of Cardiology·J H McClellandJ H McAnulty
Jan 1, 1986·Annals of Surgery·M H TorosianJ L Mullen
Jan 25, 2007·Seminars in Dialysis·Anil K AgarwalNabil J Haddad
Aug 29, 2006·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Petr UtikalMarie Cerna
Sep 27, 2003·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Melina Verso, Giancarlo Agnelli
Jan 1, 1989·The British Journal of Surgery·M M Mughal
Dec 1, 1990·Cancer·W D HaireB M Wieczorek
Jan 1, 1988·Annals of Vascular Surgery·R A McCreadyS S Mattingly
Sep 1, 1990·Cancer·W D HaireJ C Goldsmith
Jun 15, 1996·Circulation·J Hirsh, J Hoak
Mar 1, 1993·Neurosurgery·J Segal
Dec 1, 1986·Infection Control : IC·F B PetersenE D Thomas
Jan 1, 1988·Current Problems in Surgery·H Machleder