Resources

How To

Sign in to NCBI Search Advanced Send to: Help

PubMed
US National Library of Medicine National Institutes of Health

Display Settings:

Abstract

J Vasc Surg. 1992 Nov;16(5):723-32.

Circumferential venolysis and paraclavicular thoracic outlet decompression for "effort thrombosis" of the subclavian vein.
Thompson RW, Schneider PA, Nelken NA, Skioldebrand CG, Stoney RJ.

Save items
Add to Favorites loading

Author information Abstract

Effort thrombosis of the subclavian vein (Paget-Schroetter syndrome) has long been considered a primary thrombotic process, but recent experience suggests that it may commonly result from repeated mechanical compression. Increased awareness of the pathophysiology of this syndrome can allow timely, improved diagnostic screening and the use of specific surgical intervention to relieve the venous consequences. During the past 15 years we have treated six patients with mechanical compression in the thoracic outlet causing surgically correctable venous occlusive problems. There were four men and two women with an average age of 38 years (range 26 to 53 years). All patients exhibited pain, swelling, and cyanosis of the upper extremity, with worsening venous congestion on abduction of the arm. Five of six patients were originally treated for effort thrombosis of the subclavian vein with arm elevation and anticoagulation; two also underwent immediate thrombolytic therapy with urokinase. Venography was prompted in each case by positional symptoms during follow-up and showed irregular stenosis of the subclavian vein adjacent to the first rib. All patients underwent extended first rib resection and circumferential venolysis (one patient underwent bilateral procedures); one was performed through a transaxillary approach, two through a supraclavicular approach, and four through a new, "paraclavicular" approach. All subclavian veins appeared normal after venolysis. Five of six patients also underwent complete scalenectomy and brachial plexus neurolysis. In each patient, venous and neurogenic symptoms resolved and venography confirmed a patent subclavian vein, with
open in browser PRO version
Are you a developer? Try out the HTML to PDF API

Related citations in PubMed

Surgical management of subclavian-vein [Jeffort Vascthrombosis Surg. 1998] as a result of thoracic outlet Comprehensive surgical management of [J the Vasc competitive Surg. 2008] athlete with effort thrombosis of Vascular complications of thoracic outlet syndrome. [Am Surg. 1997] Review Venous thoracic outlet syndrome. [Hand Clin. 2004] Review Effort thrombosis of the axillosubclavian [Compr vein: aTher. disabling 1991] vascular disorder.

See reviews... See all...

pdfcrowd.com

follow-up ranging from 11 months to 13 years (mean 3.8 years).

Comment in

Circumferential venolysis and paraclavicular thoracic outlet decompression for effort thrombosis of the Comprehensive management of subclavian vein. [J Vasc Surg. 1993] subclavian [Semin vein Intervent effort Radiol. thrombosis. 2012]
PMID: 1433660 [PubMed - indexed for MEDLINE]

Cited by 2 PubMed Central articles

Publication Types, MeSH Terms LinkOut - more resources

Effort thrombosis presenting as pulmonary embolism [Sports Health. in a 2009] professional baseball pitcher.

Related information
Related Citations MedGen

PubMed Commons
0 comments

PubMed Commons home

Cited in PMC

Recent Activity
ClearTurn OffTurn On Circumferential venolysis and paraclavicular thoracic PubMed outlet decompression for "... Your browsing activity is empty. Activity recording is turned off. Turn recording back on
See more...

You are here: NCBI > Literature > PubMed

Write to the Help Desk

open in browser PRO version

Are you a developer? Try out the HTML to PDF API

pdfcrowd.com

GETTING STARTED
NCBI Education NCBI Help Manual NCBI Handbook Training & Tutorials

RESOURCES
Chemicals & Bioassays Data & Softw are DNA & RNA Domains & Structures Genes & Expression Genetics & Medicine Genomes & Maps Homology Literature Proteins Sequence Analysis Taxonomy Training & Tutorials Variation

POPULAR
PubMed Bookshelf PubMed Central PubMed Health BLAST Nucleotide Genome SNP Gene Protein PubChem

FEATURED
Genetic Testing Registry PubMed Health GenBank Reference Sequences Gene Expression Omnibus Map View er Human Genome Mouse Genome Influenza Virus Primer-BLAST Sequence Read Archive

NCBI INFORMATION
About NCBI Research at NCBI NCBI New s NCBI FTP Site NCBI on Facebook NCBI on Tw itter NCBI on YouTube

Copyright | Disclaim er | Privacy | Brow sers | Accessibility | Contact National Center for Biotechnology Information, U.S. National Library of Medicine 8600 Rockville Pike, Bethesda MD, 20894 USA NLM NIH DHHS

open in browser PRO version

Are you a developer? Try out the HTML to PDF API

pdfcrowd.com