VJugularistromboseenhetrisicoopeenlongembolie

CarlijnvanderZandenKeuze-coIC

Achtergrond• InNL:10.000à12.500pt metLE/jaar• 6%LEdoorupper torsoDVT(UTDVT)

<1970:UTDVTrisico<2%>1970meerCVC

• CVC:3- 58%kans UTDVT

UTDVT• Risicofactoren• Diepeinfectiesinnek• Ivmedicatie• Hoofd/halstumoren• Hypercoagulabele statusbijeenmaligniteit• Hormoonbehandelingbijsubfertiliteit

Artikel1Internal jugular, subclavian,and axillary deepvenousthrombosis and

the riskof pulmonaryembolism.

33%UTDVTMnvjugularisinterna

RF:CVC(<2weken)

8%UTDVThadeenLEobvCT-aà vjugularistrombose(1x+axillaire-subclaviatrombose)

Artikel2Upper extremity deep venous thrombosis and

its impact on morbidity and mortality rates ina hospital-basedpopulation

Artikel3Isolatedinternaljugularveinthrombosis:riskfactorsand

natural history.

• 2,7%risicoopLE• AndereartikelenUTDVT:7%tot36%

• =waarschijnlijkonderschatting

Conclusie• CVCrisicovoorontwikkelenUTDVT

• RisicoUTDVTopLE:7-36%

• RisicovjugularistromboseopLEonduidelijk

• Meeronderzoekisnodig

Referenties• Uptodate:Catheter-relatedupperextremityvenousthrombosis• Internaljugular,subclavian,andaxillarydeepvenousthrombosisandtheriskof

pulmonary embolism.Majoretal.2008Mar-Apr;16(2):72-9,Vascular.• HingoraniA,AscherE,LorensonEetal.Upperextremitydeepvenousthrombosisandits

impactonmorbidityandmortalityratesinahospital-basedpopulation.JVascSurg1997;26:853–60

• Isolatedinternaljugularveinthrombosis:riskfactorsandnaturalhistory. SheikhMA,TopoulosAP,DeitcherSR.VascMed.2002Aug.7(3):177-9.

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