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Paget schroetter

Chandu Vemuri, Payam Salehi, Jaime Benarroch-Gampel, Lauren N McLaughlin, Robert W Thompson
Venous thoracic outlet syndrome (VTOS) is uncommon but most frequently occurs in young, active, healthy patients. This condition typically presents as subclavian vein (SCV) effort thrombosis, also known as Paget-Schroetter syndrome. The pathophysiology underlying VTOS is chronic repetitive compression injury of the SCV in the costoclavicular space, resulting in progressive venous scarring, focal stenosis, and eventual thrombosis. Clinical evaluation includes a history and physical examination followed by catheter-based venography, for definitive confirmation of the diagnosis and initial treatment with pharmacomechanical thrombolysis...
October 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Lucia C DeLisa, Craig P Hensley, Steven Jackson
BACKGROUND & PURPOSE: Paget-Schroetter Syndrome (PSS) is a rare condition of vein thrombosis that can manifest in upper extremity athletes and laborers. If diagnosed early, PSS can be managed and symptoms fully reversed. Venous Duplex Ultrasound (US) is the most commonly used modality to diagnose deep vein thrombosis (DVT). While US demonstrates high sensitivity and specificity for detecting DVT, This case describes the differential diagnosis process and management of a weightlifter with PSS...
September 1, 2016: Physical Therapy
Prabin Sharma
Paget-Schroetter syndrome or effort thrombosis is characterized by spontaneous thrombosis of the upper extremity venous system, commonly seen in a young healthy patient after repetitive use of the upper extremities. It is rarely associated with coagulopathy and thus, hypercoagulable work-up is not usually a part of the investigation. We present a first case of a young woman, who was diagnosed with left upper extremity effort thrombosis following a dental procedure. Interestingly, she was also noted to be heterozygous for factor V Leiden mutation...
July 15, 2016: Blood Coagulation & Fibrinolysis: An International Journal in Haemostasis and Thrombosis
Jussi M Kärkkäinen, Henrik Nuutinen, Teemu Riekkinen, Eero Sihvo, Johanna Turtiainen, Petri Saari, Kimmo Mäkinen, Hannu Manninen
PURPOSE: The purpose of the study was to evaluate feasibility of pharmacomechanical thrombectomy (PMT) in the treatment of Paget-Schroetter syndrome (PSS) followed by thoracoscopic or open surgical decompression of the subclavian vein. METHODS: Twenty-two out of 27 consecutive patients with PSS received PMT using the Trellis-8 peripheral infusion system (Covidien) between 2010 and 2014. Subsequent surgery was performed in 18 of those patients, 9 patients were treated with thoracoscopic, 7 patients with subclavicular, and 2 patients with transaxillary first rib resection, 4 patients were treated with PMT and anticoagulation alone...
September 2016: Cardiovascular and Interventional Radiology
Christopher J Abularrage, Danielle H Rochlin, Shalini Selvarajah, Ying Wei Lum, Julie A Freischlag
OBJECTIVE: We have previously demonstrated excellent mid-term patency rates following routine venography after first rib resection and scalenectomy (FRRS) for subacute Paget-Schroetter syndrome. The goal of this study was to assess the long-term outcomes of this technique. METHODS: Retrospective analysis of a prospectively collected database was performed. Patients underwent routine venography 2 weeks post-FRRS. Warfarin was discontinued in those with patent veins...
July 2014: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Ruth Ijaopo, Victor Oguntolu, Dominick DCosta, Andrew Garnham, Simon Hobbs
BACKGROUND: We present a case of unsuspected Paget-Schroetter syndrome (also called effort thrombosis), one of the rare causes of upper extremity deep vein thrombosis. To the best of our knowledge, this was the first such case in our hospital. Our patient may have been discharged with an incomplete diagnosis and inappropriate management but for one of the few physicians who knew about effort thrombosis, made the diagnosis, and referred the patient promptly to the appropriate team. CASE PRESENTATION: A 37-year-old Caucasian man who was an active judo tutor presented to the acute medical unit in our hospital...
2016: Journal of Medical Case Reports
S C Güven, L Özçakar, B Çuni, A I Aksöyek, G Çağlayan, B Kaymak
Thoracic outlet syndrome (TOS) is a challenging clinical condition as regard to its diagnosis and treatment. Its management may turn out to be an impasse in a case when an adverse complication-like Paget-Schroetter (PSS) syndrome-also coexists. Herein, we report a nine-year follow-up of a TOS patient (a 41-year old cardiovascular surgeon) who had suffered multiple PSS episodes and repeat TOS surgeries. In essence, we want to highlight once again the diverse clinical findings of TOS and discuss its management in light of the relevant literature...
May 6, 2015: West Indian Medical Journal
Andrew S Chu, Julia Harkness, Char M Witmer
We present the case of a healthy 13-year-old female adolescent who developed acute progressive swelling and pain in her right upper extremity that was secondary to an acute deep venous thrombosis of her right subclavian vein. Dynamic imaging revealed subclavian vein compression at the junction of the first rib and proximal third of the clavicle consistent with Paget-Schroetter syndrome, also known as effort-related thrombosis. The compressive etiology of her thrombus was most likely related to her cheerleading activity, in which she served as the pyramid base...
February 6, 2016: Pediatric Emergency Care
Alexander B Norinsky, James Espinosa, Majid Kianmajd, Francesca DiLeonardo
No abstract text is available yet for this article.
July 2016: American Journal of Emergency Medicine
Ebru Aytekin, Yasemin Pekin Dogan, Sibel Caglar Okur, Ozer Burnaz, Nil Sayiner Caglar
[Purpose] Paget-Schroetter syndrome (PSS) is an uncommon deep vein thrombosis of the axillary and subclavian veins which may occur spontaneously, but is usually caused by excessive upper limb activity. PSS is clinically similar to other upper limb musculoskeletal disorders and soft tissue infections, and this may lead to delay in correct diagnosis in its early stages. The aim of our case report is to discuss this rare condition with reference to the available literature. [Subjects and Methods] Here we report the case of a doner kebab chef who complained of swelling and pain in his right arm around the biceps muscle...
October 2015: Journal of Physical Therapy Science
Nirosshan Thiruchelvam, Farayi Mbuvah, Gaurav Kistangari, Anil Kumar Reddy Anumandla
No abstract text is available yet for this article.
October 2015: Cleveland Clinic Journal of Medicine
Christoph Lutter, Erik Monasterio, Volker Schöffl
Paget-Schroetter syndrome, also known as upper extremity deep venous thrombosis (UEDVT), is a rare condition, characterised by a (sub-) total occlusion of the axillary-subclavian venous system due to thrombosis. UEDVT is the most common vascular condition among athletes so far; although the general incidence is low, this problem will become more frequent as a result of increased participation in climbing sports. The purpose of this report is to illustrate two cases in rock climbers where UEDVT developed during rock climbing or bouldering...
2015: BMJ Case Reports
Selena G Goss, Sean D Alcantara, George J Todd, John C Lantis
OBJECTIVE: The preponderance of existing literature for the treatment of Paget-Schroetter syndrome (PSS) advocates clot lysis followed by thoracic outlet decompression (TOD). We postulate that long-term anticoagulation has equal outcomes to more invasive and costly surgical intervention, and review our experience with non-operative management of PSS. METHODS: A retrospective review was conducted, examining patients between 1994-2014. Forty patients were identified with PSS, and 27 of these patients had sufficient follow-up for this analysis...
September 2015: Journal of Invasive Cardiology
Victor Jourdain, William D Goldenberg, Michael Matteucci, Jonathan Auten
Paget-Schroetter syndrome is a rare but potentially debilitating condition affecting young, otherwise healthy individuals. This condition, also known as effort thrombosis, is an upper extremity deep vein thrombosis classically caused by anatomical abnormalities compressing the neurovascular structures of the thoracic outlet. The diagnosis is important to emergency medicine providers due to its secondary morbidity and mortality. Common complications affecting these active adults are pulmonary embolism and postthrombotic syndrome...
March 2016: American Journal of Emergency Medicine
Toshifumi Shimada, Tatsuo Tounai, Takachika Syoji, Yoshihiro Fukumoto
A 17-year-old Japanese male athlete presented to the emergency department at our hospital with a chief complaint of exertional dyspnea. Although there were no significant findings in the right and left upper extremities on a physical examination, a chest computed tomography scan showed bilateral multiple thrombosis in the pulmonary arteries, indicating pulmonary thromboembolism, and deep vein thrombosis in the left subclavian vein. Upper limb venography showed interruption of the left subclavian vein (so-called Paget-Schroetter syndrome; PSS)...
2015: Internal Medicine
Charlotte Bullock, A McD Johnston
We describe the case of a 23-year-old serviceman on overseas deployment who presented with a painful, swollen arm. Investigations showed an upper extremity deep vein thrombosis (UEDVT) of the right arm with an associated asymptomatic pulmonary embolism, which was treated with warfarin anticoagulation. Further investigation identified positional obstruction at the thoracic outlet, and the patient was diagnosed with Paget-Schroetter syndrome. He underwent elective resection of the first rib, and has now returned to normal duties...
August 2016: Journal of the Royal Army Medical Corps
Joanelle Lugo, Adam Tanious, Paul Armstrong, Martin Back, Brad Johnson, Murray Shames, Neil Moudgill, Peter Nelson, Karl A Illig
BACKGROUND: Most clinicians feel that treatment for patients with acute primary axillosubclavian vein thrombosis ("effort thrombosis") is catheter-directed thrombolysis followed by thoracic outlet decompression. Several investigators feel that first rib resection (FRR) is not indicated in every case. No randomized data exist to answer this question. METHODS: A MEDLINE search was done using the terms "Paget-Schroetter syndrome," "upper extremity DVT," "first rib resection," "effort thrombosis," and "primary upper extremity thrombosis," with thrombolysis used as an "AND" term...
August 2015: Annals of Vascular Surgery
Keagan Werner-Gibbings, Steven Dubenec
Paget-Schroetter syndrome is a form of upper limb deep venous thrombosis usually seen in younger patients in association with repetitive activities of the affected limb. When occurring in more elderly patients or in those where it is difficult to appreciate a causative mechanism, other aetiologies should be considered. We present a case in which degenerative osteoarthritis of the sternoclavicular joint with osteophyte development impinged on the subclavian vein, leading to extensive upper limb thrombosis. The difficulties in identifying and managing this unusual cause of Paget-Schroetter are presented and discussed...
2015: Case Reports in Vascular Medicine
Cameron C Trenor, Jeremy G Fisher, Faraz A Khan, Eric A Sparks, Juliann Duzan, Kathy Harney, Brian Dillon, Matthew Menard, Biren P Modi
OBJECTIVE: To review the presentation, management, and outcomes of Paget-Schroetter syndrome (PSS) in children and propose a multidisciplinary treatment algorithm involving pediatric and vascular surgery, interventional radiology, and hematology. STUDY DESIGN: Patients with PSS presenting between 2003 and 2013 were reviewed. Demographics, symptoms, therapies, and functional outcomes were noted. Data from early patients informed the development of a multidisciplinary treatment algorithm applied to later patients...
June 2015: Journal of Pediatrics
Alexander Massmann, Philippe Jagoda, Nicole Kranzhoefer, Arno Buecker
PURPOSE: Observational analysis of percutaneous repositioning of displaced port-catheters in patients with dysfunctional central-venous port-systems. METHODS: A total of 1061 patients with dysfunctional venous pectoral port-systems were referred for port-angiography. Dislocated port-catheters were identified in 37 (3.5 %) patients (11 males, mean age 58.1 ± 7.2 [range 48-69] years; 26 females, 57.0 ± 13.5 [range 24-75] years) 3.9 ± 6.6 months (range 1 day-26 months) after port-implantation...
December 2015: Annals of Surgical Oncology
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