Abstract
ABSTRACT To the Editor.— The recent article Upper Extremity Venous Thrombosis With Pulmonary Embolism: A Complication of Excretory Urography (227:187, 1974) by Clagett et al drew my interest. In a review of 23 patients with primary subclavian-axillary vein thrombosis seen over a 16-year period at Walter Reed General Hospital, Washington, DC (Swinton et al, Circulation 38:737, 1968), we identified one certain and one probable pulmonary embolus resulting from primary upper extremity venous thrombosis: the former case has been previously reported by A. H. Aufses, Jr (Surgery 35:957, 1954). In addition, the potential for precipitation of venous complications following intravenous infusion of radiopaque media was observed in two patients. One suffered a transient chemical phlebitis and exacerbation of symptoms in the affected arm following phlebography; the other developed severe basilic-cephalic-antecubital chemical phlebitis in the contralateral normal extremity following bilateral diagnostic phlebography three months after the onset of the primary axillary thrombosis. We concluded
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