Analysis of noncatheter-associated upper extremity deep venous thrombosis from the RIETE registry

Daniel H. Newton, Manuel Monreal Bosch, Michael Amendola, RIETE Investigators, E. Drucka (Member of the Working Group), D. Kigitovica (Member of the Working Group), A. Skride (Member of the Working Group)

Research output: Contribution to journalConference articlepeer-review

13 Citations (Scopus)


Objective We sought to determine the risk factors for subsequent bleeding and recurrent venous thromboembolism (VTE) events following isolated noncatheter-associated upper extremity deep venous thrombosis (non-CA-UEDVT) to better inform future treatment decisions for this group of patients. Methods The RIETE registry (Registro Informatizado de Enfermedad TromboEmbólica [Computerized Registry of Patients with Venous Thromboembolism]) is a prospective international registry of patients with objectively confirmed symptomatic VTE. Patients with a symptomatic, isolated, proximal UEDVT from March 2001 through March 2015 were analyzed. Any patient with an indwelling catheter or pacemaker lead at the DVT site and at the time of thrombosis was considered to have a CA-UEDVT and was excluded. Patient and treatment characteristics such as age, gender, comorbidities, VTE risk factors, treatment drug, and duration were collected. Outcomes examined included recurrent DVT, subsequent pulmonary embolism (PE), and hemorrhage. Multivariate analysis was performed using stepwise logistic regression. Results Of the 1100 patients who met the study criteria, 580 (53%) were male. The mean age of the patients was 50 ± 20 years, and overall patient survival at 1 year was 85%. Recurrent VTE occurred in 59 patients (5.4%). Of these, 46 patients (4%) had recurrent DVT, 10 (0.9%) had a PE following UEDVT diagnosis, and 3 (0.3%) had both. PE was fatal in three patients (0.3%). Bleeding occurred in 50 patients (4.5%), major bleeding in 19 patients (1.7%), and fatal bleeding in 6 patients (0.5%). On multivariate analysis, malignant disease was associated with VTE recurrence (odds ratio [OR], 2.00; 95% confidence interval [CI], 1.04-3.45; P <.04), whereas hemorrhage was associated with age (OR, 1.03; 95% CI, 1.01-1.05; P =.002) and malignant disease (OR, 2.53; 95% CI, 1.34-4.76; P <.005). Hemorrhage and recurrent VTE were also significantly associated (OR, 2.79; 95% CI, 1.16-6.76; P <.03). Conclusions PE following non-CA-UEDVT is rare. Malignant disease was associated with VTE recurrence. Age and malignant disease were associated with hemorrhage, and VTE recurrence was associated with hemorrhage. Further prospective studies should be undertaken to best determine length of anticoagulation treatment for the varied populations of patients with UEDVT.

Original languageEnglish
Pages (from-to)18-24.e1
JournalJournal of Vascular Surgery: Venous and Lymphatic Disorders
Issue number1
Publication statusPublished - Jan 2017
Externally publishedYes
Event40th Annual Meeting of the Southern Association for Vascular Surgery - Ritz-Carlton, Cancun, Cancun, Mexico
Duration: 20 Jan 201623 Jan 2016
Conference number: 40

Field of Science*

  • 3.2 Clinical medicine

Publication Type*

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database


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