[Use of D-dimer to exclude upper extremity deep venous

Ugeskrift for laeger · Sep 2009

Case Reports

[Use of D-dimer to exclude upper extremity deep venous thrombosis].

D-dimer is often used to exclude deep venous thrombosis, primarily in the lower extremities. We describe a 38-year-old man who had deep venous thrombosis in the left vena subclavia in spite of a normal D-dimer. Only one inconclusive survey compares the value of D-dimer and upper extremity deep venous thrombosis. We conclude that where deep venous thrombosis of the upper extremities is suspected, you cannot rely on the D-dimer value, but should examine the patient using other modalities such as colour Doppler ultrasound.

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- Hans-Ulrik Ahler-Toftehøj and Peter Mikkelsen.
- Ortopaedkirurgisk Afdeling, Herlev Hospital, DK-2730 Herlev. hantof01@heh.regionh.dk
- Ugeskr. Laeg. 2009 Sep 21; 171 (39): 2834-5.
AbstractD-dimer is often used to exclude deep venous thrombosis, primarily in the lower extremities. We describe a 38-year-old man who had deep venous thrombosis in the left vena subclavia in spite of a normal D-dimer. Only one inconclusive survey compares the value of D-dimer and upper extremity deep venous thrombosis. We conclude that where deep venous thrombosis of the upper extremities is suspected, you cannot rely on the D-dimer value, but should examine the patient using other modalities such as colour Doppler ultrasound.

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[Use of D-dimer to exclude upper extremity deep venous thrombosis].

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