Upper Limb DVT Extensive Occlusive Venous Thrombosis of the Left Upper Limb Estimated reading: 1 minute 365 views Contributors Clinical History A 64-year old lady with a peripherally inserted central catheter (PICC line) through her left upper limb, presented with a sudden onset of swelling in her left arm. A vascular ultrasound was requested to rule out thrombosis. Case Description Ultrasound revealed an extensive occlusive thrombus in the basilic vein, axillary vein, subclavian vein, and jugular vein of the left side. The PICC line was also visualised within the lumen of the thrombosed vein. Diagnosis/ Discussion/ Treatment/ Follow up The insertion of PICC lines can sometimes be for administering certain treatments. Patients who develop any adverse symptom (swelling, pain, redness) post PICC line insertion are prime candidates for an upper limb venous Doppler ultrasound. It is vital to rule out an onset of thrombosis in these patients to avoid dangerous outcomes. Sonograms CDI occluded left jugular vein CDI occluded left jugular vein CDI occluded left subclavian vein with PICC line in situ B-mode occluded left axillary vein with PICC line in situ B-mode occluded left basilic vein with PICC line in situ Extensive Occlusive Venous Thrombosis of the Left Upper Limb - PreviousUpper Limb DVTNext - Extensive Occlusive Venous Thrombosis of the Left Upper LimbThe Great Vessels Published on: November 25, 2024
