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Successful Management in Unprovoked Upper Extremity Deep Vein Thrombosis: Case Report

Heart Science Journal · Vol. 5 No. 3 (2024) · hlm. 76–79

DOI
10.21776/ub/hsj.2024.005.03.14
ISSN
2721-9984, 2721-9976
Terbit
2024-07-30
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

BackgroundOne to four percent of all cases of deep vein thrombosis (DVT) occur in the upper extremities. Effective thrombolysis for upper extremity deep vein thrombosis (UEDVT) can be achieved with a combination of vascular interventions such as angioplasty, which is continued with catheter-directed thrombolysis (CDT) and anticoagulant therapy.Case IllustrationWe presented the case of a 40-year-old man who developed sudden pain and swelling in his right upper extremity. The thrombus was located in the right subclavian vein, confirmed by duplex ultrasonography. Laboratory results were normal. The patient was diagnosed with unprovoked UEDVT. He underwent venography, which showed an acute-on-chronic lesion at the right subclavian vein. We decided to use double access, tried to inflate the balloon to fragment the thrombus, several times of thrombo-suction, and then continued with Catheter-directed thrombolysis (CDT) using Alteplase. The patient continued oral anticoagulant therapy with Rivaroxaban. After 6 months of follow-up, there wasn’t any complaint. Evaluation of Duplex ultrasonography showed normal results without any recurrent thrombusConclusionThis case revealed how to treat acute-on-chronic lesions of unprovoked UEDVT with a comprehensive management method not only with balloon fragmentation and CDT but also anticoagulant therapy and showed a good outcome and no signs of bleeding complication.

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Rekan penulisOrganisasiArtikel bersama
Mohammad Saifur RohmanUniversity of Brawijaya51
Cholid Tri TjahjonoUniversity of Brawijaya26
Indra PrasetyaUniversity of Brawijaya26
Sasmojo WiditoUniversity of Brawijaya24
Djanggan SargowoUniversity of Brawijaya23
Heny MartiniUniversity of Brawijaya22
Setyasih AnjarwaniUniversity of Brawijaya20
Budi SatrijoUniversity of Brawijaya15
Wella KarolinaUniversity of Brawijaya12
Adhika Prastya WikanandaUniversity of Brawijaya8
Valerinna YogibuanaAfiliasi tidak diketahui7
Yoga WaranugrahaUniversity of Brawijaya5
Seprian WidasmaraUniversity of Brawijaya5
Tri AstiawatiUniversity of Brawijaya5
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya5
Muhammad Rizki FadlanUniversity of Brawijaya4
Sawitri SatwikajatiUniversity of Brawijaya4
Lukitasari Ayu Galuh ArdhiUniversity of Brawijaya4
Putri Annisa KamilaUniversity of Brawijaya4
Fahmy RusnantaUniversity of Brawijaya4
Ratna PancasariUniversity of Brawijaya4
N KaputrinUniversity of Brawijaya4
Imam Mi'raj SuprayogaUniversity of Brawijaya4
Dea Arie KurniawanUniversity of Brawijaya4
Icmi Dian RochmawatiUniversity of Brawijaya3
Olivia HandayaniUniversity of Brawijaya3
Veny KurniawatiUniversity of Brawijaya3
Fitranti Suciati LaitupaUniversity of Brawijaya3
Ayu Asri Devi AdityawatiUniversity of Brawijaya3
Imelda KrisnasariUniversity of Brawijaya3
Puspa LestariUniversity of Brawijaya2
Anita Surya SantosoAfiliasi tidak diketahui2
Irma KameliaUniversity of Brawijaya2
Muhammad Saifur RohmanAfiliasi tidak diketahui2
Anna Fuji RahimahAfiliasi tidak diketahui2
Harris KristantoUniversity of Brawijaya2

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Successful Management in Unprovoked Upper Extremity Deep Vein Thrombosis: Case Report</dc:title>
	<dc:creator xml:lang="en">Noverike, Nikhen</dc:creator>
	<dc:creator xml:lang="en">Kurnianingsih, Novi</dc:creator>
	<dc:creator xml:lang="en">Rizal, Ardian</dc:creator>
	<dc:creator xml:lang="en">Rahimah, Anna Fuji</dc:creator>
	<dc:subject xml:lang="en">upper extremity deep vein thrombosis</dc:subject>
	<dc:subject xml:lang="en">unprovoked UEDVT</dc:subject>
	<dc:subject xml:lang="en">catether-directed thrombolysis</dc:subject>
	<dc:subject xml:lang="en">anticoagulant</dc:subject>
	<dc:description xml:lang="en">BackgroundOne to four percent of all cases of deep vein thrombosis (DVT) occur in the upper extremities. Effective thrombolysis for upper extremity deep vein thrombosis (UEDVT) can be achieved with a combination of vascular interventions such as angioplasty, which is continued with catheter-directed thrombolysis (CDT) and anticoagulant therapy.Case IllustrationWe presented the case of a 40-year-old man who developed sudden pain and swelling in his right upper extremity. The thrombus was located in the right subclavian vein, confirmed by duplex ultrasonography. Laboratory results were normal. The patient was diagnosed with unprovoked UEDVT. He underwent venography, which showed an acute-on-chronic lesion at the right subclavian vein. We decided to use double access, tried to inflate the balloon to fragment the thrombus, several times of thrombo-suction, and then continued with Catheter-directed thrombolysis (CDT) using Alteplase. The patient continued oral anticoagulant therapy with Rivaroxaban. After 6 months of follow-up, there wasn’t any complaint. Evaluation of Duplex ultrasonography showed normal results without any recurrent thrombusConclusionThis case revealed how to treat acute-on-chronic lesions of unprovoked UEDVT with a comprehensive management method not only with balloon fragmentation and CDT but also anticoagulant therapy and showed a good outcome and no signs of bleeding complication.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2024-07-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/15743</dc:identifier>
	<dc:identifier>10.21776/ub/hsj.2024.005.03.14</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 5 No. 3 (2024): The Science and Art of Revascularization in Acute Coronary Syndrome; 76-79</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2024.005.03</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/15743/426</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2024 Nikhen Noverike</dc:rights>
</oai_dc:dc>