keyword
https://read.qxmd.com/read/36386307/quantitative-analysis-of-venous-outflow-with-photo-plethysmography-in-patients-with-suspected-thoracic-outlet-syndrome
#21
JOURNAL ARTICLE
Jeanne Hersant, Pierre Ramondou, Charlotte Josse, Simon Lecoq, Samir Henni, Pierre Abraham
Background: Venous compression is the second most frequent form of thoracic outlet syndrome (TOS). Although venous photo-plethysmography (PPG) has been largely used to estimate the consequences of chronic thromboses (Paget Schroetter syndrome), systematic direct quantitative recording of hemodynamic consequences of positional venous outflow impairment in patients with suspected TOS has never been reported. Objective: We hypothesized that moving the arms forward (prayer: "Pra" position) while keeping the hands elevated after a surrender/candlestick position (Ca) would allow quantification of 100% upper limb venous emptying (PPGmax) and quantitative evaluation of the emptying observed at the end of the preceding abduction period (End-Ca-PPG), expressed in %PPGmax...
2022: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/36329970/a-narrative-review-of-the-surgical-management-of-paget-schroetter-syndrome-case-series-and-long-term-follow-up
#22
REVIEW
Mohamad Bashir, Sven Zcp Tan, Matti Jubouri, Ghali Salahia, Richard J Whiston, Richard D White, Damian M Bailey, Ian M Williams
BACKGROUND AND OBJECTIVE: Paget-Schroetter syndrome (PSS) is an uncommon disorder which causes thrombosis of the subclavian vein (SV). This is due to compression of the SV by the surrounding anatomical structures. The optimal management of PSS remains subject to debate, with endovascular intervention and open surgical decompression being favoured current options. This review article evaluates both approaches to the management of PSS, while also presenting a case series with long-term follow-up of patients that underwent open surgical intervention for PSS...
October 2022: Cardiovascular Diagnosis and Therapy
https://read.qxmd.com/read/36275395/erector-spinae-plane-block-with-catheter-infusion-for-analgesia-in-a-patient-undergoing-transaxillary-first-rib-resection
#23
L McCance, E C Smith, J Moore, P Forget
Analgesia for first rib resection can be challenging with short- and long-term consequences for patients such as acute distress, difficulty participating in physiotherapy and chronic pain. We report utilising an erector spinae plane block with a continuous infusion catheter as analgesia for a transaxillary first rib removal in a patient with venous thoracic outlet syndrome (Paget-Schroetter syndrome). We could find no reports of erector spinae plane block in transaxillary rib resection, and a limited number of reports using a paravertebral approach to analgesia for this procedure...
July 2022: Anaesthesia reports
https://read.qxmd.com/read/36243264/adolescent-athletes-can-get-back-in-the-game-after-surgery-for-thoracic-outlet-syndrome
#24
JOURNAL ARTICLE
Stephanie D Talutis, Jesus G Ulloa, Hugh A Gelabert
OBJECTIVES: To compare functional outcomes among adolescent athletes with venous (VTOS) and neurogenic thoracic outlet syndrome (NTOS) after thoracic outlet decompression. METHODS: Single-institution retrospective review of a prospective database of adolescent athletes (age 13-19) from 6/1/1996-12/31/2021 who underwent operative decompression for TOS. Demographics, preoperative symptoms, operative details, and postoperative outcomes were compared. Primary outcome was postoperative return to sport...
October 12, 2022: Journal of Vascular Surgery
https://read.qxmd.com/read/36157985/acute-pulmonary-embolism-originating-from-upper-limb-venous-thrombosis-following-breast-cancer-surgery-two-case-reports
#25
Yan Duan, Guo-Li Wang, Xin Guo, Li-Li Yang, Fu-Guo Tian
BACKGROUND: Upper limb venous thrombosis (ULVT) is rarer than lower-extremity deep venous thrombosis, and is related to Paget-Schroetter syndrome, central venous catheterization, and malignancy. There are few reports of pulmonary embolism (PE) from upper-extremity vein thrombosis due to surgery. Herein, we report two cases of PE that originated from upper limb venous thrombosis on the surgical side in two patients undergoing modified radical mastectomy for breast cancer. These cases challenge the traditional theory that PE originate only from the lower extremities...
July 26, 2022: World Journal of Clinical Cases
https://read.qxmd.com/read/36082395/long-term-outcomes-of-nonoperative-and-surgical-management-of-paget-schroetter-syndrome
#26
JOURNAL ARTICLE
Frank Hoexum, Vincent Jongkind, Hans M E Coveliers, Willem Wisselink, Kak Khee Yeung
PURPOSE: In Paget-Schroetter Syndrome (PSS), subclavian vein thrombosis is caused by external compression of the subclavian vein at the costoclavicular junction. Paget-Schroetter Syndrome can be treated nonoperatively, surgically, or with a combination of treatments. Nonoperative management consists, in most cases, of anticoagulation (AC) or catheter-directed thrombolysis (CDT). With surgical management, decompression of the subclavian vein is performed by resection of the first rib. No prospective randomized trials are available to determine whether nonoperative or surgical management is superior...
September 8, 2022: Journal of Endovascular Therapy
https://read.qxmd.com/read/36062232/subclavian-effort-thrombosis-pathophysiology-diagnosis-and-management
#27
REVIEW
Eric C King, Roger E Goldman, Matthew Schwenke, Amir A Sarkeshik
Subclavian vein (SCV) effort thrombosis, also known as Paget-Schroetter syndrome or venous thoracic outlet syndrome, is an uncommon condition that affects individuals with an irregularly narrow thoracic outlet who engage in repetitive overhead motions of the affected arm. Venous injury arises from microtraumas that occur from the repetitive compression of the SCV between the first rib and the overlying clavicle. Additional sources of extrinsic compression can be due to the anterior scalene muscle, subclavius muscle, and costoclavicular ligament...
June 2022: Seminars in Interventional Radiology
https://read.qxmd.com/read/36018621/thoracic-outlet-syndrome-a-review-for-the-primary-care-provider
#28
REVIEW
Angela C Cavanna, Athina Giovanis, Alton Daley, Ryan Feminella, Ryan Chipman, Valerie Onyeukwu
CONTEXT: Thoracic outlet syndrome (TOS) symptoms are prevalent and often confused with other diagnoses. A PubMed search was undertaken to present a comprehensive article addressing the presentation and treatment for TOS. OBJECTIVES: This article summarizes what is currently published about TOS, its etiologies, common objective findings, and nonsurgical treatment options. METHODS: The PubMed database was conducted for the range of May 2020 to September 2021 utilizing TOS-related Medical Subject Headings (MeSH) terms...
August 29, 2022: Journal of osteopathic medicine
https://read.qxmd.com/read/35935158/utilizing-provocative-maneuvers-intraoperatively-in-conjunction-with-ivus-to-diagnose-vtos-the-new-gold-standard
#29
Hafez Golzarian, Jannet Bux, Alaha Mariam, Sidra R Shah, Benjamin A Pasley, Kyle R Henneke, Manu B Aggarwal, Sandeep M Patel
Current methodologies of diagnosing and managing venous thoracic outlet syndrome (vTOS) remain controversial, as pertinent studies using modern advancements in medicine are limited. We present a case in which we innovatively used a modified Wright's test during venography coupled with intravascular ultrasound, which allowed us to definitively determine the etiology of a vTOS. ( Level of Difficulty: Intermediate. ).
August 3, 2022: JACC. Case reports
https://read.qxmd.com/read/35918036/surgical-decompression-among-paget-schroetter-patients-with-subacute-and-chronic-venous-occlusion
#30
JOURNAL ARTICLE
Michael J Cheng, Tristen T Chun, Hugh A Gelabert, Johnathon C Rollo, Jesus G Ulloa
OBJECTIVE: Management of Paget Schroetter syndrome (PSS) with first rib resection (FRR) and venoplasty is successful in re-establishing subclavian vein (SCV) patency in most cases. However, in cases with subacute or chronic venous occlusion; SCV patency may not be achieved. Thus, the role for FRR remains controversial in cases of subacute or chronic SCV occlusion. Our goal is to determine whether FRR is beneficial in PSS patients with subacute or chronic SCV occlusion. METHODS: A prospectively maintained thoracic outlet syndrome (TOS) database was searched for patients undergoing FRR who were identified as having SCV occlusion (OCC) on pre-operative venography between 2012-2021...
July 30, 2022: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/35865424/paget-schroetter-syndrome-a-rare-case-of-upper-extremity-deep-vein-thrombosis-in-a-young-swimmer
#31
Amar Suwal, Swarup Sharma Rijal, Manish Shrestha, Salina Munankami, Sijan Basnet
Paget-Schroetter syndrome (PSS) is a rare form of spontaneous upper extremity deep vein thrombosis associated with vigorous activity of the upper extremities. We present a rare case of a young swimmer who presented with a painful right upper extremity swelling, with compression ultrasound (CUS) revealing extensive venous clots in the basilic, axillary, and subclavian veins. Venous duplex revealed extrinsic compression of the subclavian vein, and catheter-based contrast venography confirmed our diagnosis of PSS...
June 2022: Curēus
https://read.qxmd.com/read/35830418/use-of-medevac-resources-in-austere-settings-paget-schroetter-in-the-deployed-environment
#32
JOURNAL ARTICLE
Mary T O'Donnell, Michelle L Huang, Kimberely A Gerling, Todd E Rasmussen, Joseph M White, Erin E Koelling
Medical evacuation (MEDEVAC) from a combat zone requires complex decision-making and coordination of assets. A MEDEVAC helicopter team transports not only battle-injured patients but also patients with urgent non-battle-related medical diagnoses from extremely remote locations and are at the mercy of terrain, weather, and enemy contact. The military represents a young population particularly susceptible to venous thoracic outlet syndrome (vTOS) given the rigorous physical activity demands. Current literature supports immediate anticoagulation and surgical decompression within 14 days of diagnosis of vTOS to prevent long-term morbidity...
November 3, 2023: Military Medicine
https://read.qxmd.com/read/35774707/atypical-presentation-of-paget-schroetter-syndrome-case-report-and-management
#33
Jaydip Desai, Arsh N Patel, Sammy Dahan, Fulton Defour
Upper extremity deep vein thrombosis (UEDVT) is a rare condition that makes early clinical evaluation and treatment important prior to the formation of deep vein thrombosis (DVT). Typical risk factors include male sex, young age, repetitive arm over abduction and hyperextension, indwelling catheters, cervical first rib, and thoracic outlet syndrome. One common cause of UEDVT is Paget-Schroetter syndrome (PSS). If untreated, pulmonary complications such as venous thromboembolic disease and pulmonary embolism (PE) may develop...
May 2022: Curēus
https://read.qxmd.com/read/35643200/preoperative-thrombolysis-is-associated-with-improved-vein-patency-and-functional-outcomes-after-first-rib-resection-in-acute-paget-schroetter-syndrome
#34
REVIEW
Tristen T Chun, Jessica B O'Connell, David A Rigberg, Brian G DeRubertis, Juan C Jimenez, Steven M Farley, Donald T Baril, Hugh A Gelabert
INTRODUCTION: Most patients with acute Paget-Schroetter syndrome (PSS) present in one of two manners: (1) thrombosis managed initially with thrombolysis and anticoagulation and then referred for surgery, and (2) initial treatment with anticoagulation only and later referral for surgery. Definitive benefits of thrombolysis in the acute period (the first 2 weeks after thrombosis) over anticoagulation alone have not been well reported. Our goal was to compare patients managed with early thrombolysis and anticoagulation followed by first rib resection (FRR) and later postoperative venography with venoplasty (PTA) with those managed with anticoagulation alone followed by FRR and PTA using vein patency assessed with venography and standardized outcome measures...
September 2022: Journal of Vascular Surgery
https://read.qxmd.com/read/35637834/paget-schroetter-syndrome-pss-and-adjunctive-treatment-with-mechanical-aspiration-thrombectomy-and-catheter-directed-thrombolysis-a-case-report-and-review-of-literature
#35
Amitoj Singh, Mehrvaan Kaur, Amroz Singh, Ammar Bhatti, Rushin Patel
Paget-Schroetter syndrome, also known as venous thoracic outlet syndrome, is primarily an effort-induced thrombosis of the subclavian and axillary veins. Treatment modalities involve systemic anticoagulation, catheter-directed thrombolysis (CDT), and surgical decompression. Early endovascular intervention is noted to improve outcomes and result in symptomatic relief. Here we implore the usage of the novel mechanical aspiration thrombectomy device as an adjunct to CDT for the management of peripheral venous thrombosis and highlight it as a treatment option resulting in substantial radiological and symptomatic improvement...
April 2022: Curēus
https://read.qxmd.com/read/35600034/venous-thoracic-outlet-syndrome-when-exercising-may-be-discouraged
#36
Inês Oliveira, Filipa Leal, Lígia Santos, João Almeida Pinto, Luis Nogueira, Mari Mesquita
Thoracic outlet syndrome results from neurovascular compression at the thoracic outlet. Clinical presentation varies according to the predominantly compressed structure, determining its subtype: neurogenic, venous, or arterial. The neurogenic subtype is the most common, affecting 90% of patients, while the vascular subtype is rarely found in practice. We present two case reports of young patients with upper extremity deep vein thrombosis in the setting of venous thoracic outlet syndrome: one due to an anatomic variant, the second an effort thrombosis due to repeated upper arm exercise...
May 2022: Clinical Case Reports
https://read.qxmd.com/read/35433395/paget-schroetter-syndrome-an-unfamiliar-cause-of-upper-limb-deep-venous-thrombosis
#37
Bhushan Sudhakar Wankhade, Adel Elsaid ElKhouly, Zeyad Faoor Alrais, Mohamed Hamed Ibrahim Ali El Kholi
Paget-Schroetter syndrome (PSS), which is also called "effort thrombosis," is a venous variant of thoracic outlet syndrome. We report a rare case of upper-limb deep venous thrombosis (ULDVT) in a young patient who was later diagnosed as PSS. PSS is a rare cause of ULDVT, and it is usually seen in young adults who are involved in strenuous physical activity. PSS is either due to anatomical abnormality of the thoracic outlet or due to repeated microtrauma to the endothelium of the subclavian/axillary vein. Clinically, the patient usually presents with signs and symptoms of ULDVT...
2022: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/35101717/paget-schroetter-syndrome-in-an-active-young-female-after-unsupervised-exercise
#38
JOURNAL ARTICLE
Santiago A Endara, Gerardo A Dávalos, Christian H Fierro, R Alejandra Montero, Gabriel A Molina
INTRODUCTION AND IMPORTANCE: Thoracic outlet syndrome (TOS) is a rare syndrome caused by compression of one of the three neurovascular structures in their passage from the cervical area toward the axilla and proximal arm either at the interscalene triangle, the costoclavicular triangle, or the sub coracoid space. The mainstay of management is nonsurgical; however, surgery may be needed when patients persist with symptoms despite conservative management and when vascular structures are involved...
February 2022: International Journal of Surgery Case Reports
https://read.qxmd.com/read/34998937/a-single-institution-30-year-review-of-abnormal-first-rib-resection-for-thoracic-outlet-syndrome
#39
JOURNAL ARTICLE
Mark J Ajalat, Joe L Pantoja, Jesus G Ulloa, Michael J Cheng, Rhusheet P Patel, Tristen T Chun, Hugh A Gelabert
OBJECTIVES: Congenital abnormalities of the first rib (ABNFR) are a rare cause of thoracic outlet syndrome (TOS). The range of abnormalities have not been clearly documented in the literature. Surgical decompression in these patients presents with increased complexity secondary to anomalous anatomy. Our goal is to review an institutional experience of first rib resection (FRR) performed for ABNFRs, to present a novel classification system, and to analyze outcomes according to clinical presentation...
July 2022: Annals of Vascular Surgery
https://read.qxmd.com/read/34930589/venous-thoracic-outlet-syndrome-and-paget-schroetter-syndrome
#40
JOURNAL ARTICLE
Biren P Modi, Rush Chewning, Riten Kumar
Venous thoracic outlet syndrome represents a relatively rare but important diagnosis in the adolescent population with increasing recognition. Compression of the subclavian vein within the costoclavicular space can lead to episodic venous outlet obstruction in the upper extremity, with edema, rubor and functional symptoms. Over time, cumulative injury and compression can lead to thrombosis of the vein, referred to as "effort thrombosis" or the Paget-Schroetter syndrome. This progression can lead to the need for acute management of the venous thromboembolism, requirement for thoracic outlet decompression surgery and the potential for long-term sequelae such as post-thrombotic syndrome...
December 2021: Seminars in Pediatric Surgery
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