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Paget schroetter syndrome

Paul C Hulsberg, Eric McLoney, Sasan Partovi, Jon C Davidson, Indravadan J Patel
The management of venous compression syndromes has historically been reliant on surgical treatment when conservative measures fail. There are, however, several settings in which endovascular therapy can play a significant role as an adjunct or even a replacement to more invasive surgical methods. We explore the role of minimally invasive treatment options for three of the most well-studied venous compression syndromes. The clinical aspects and pathophysiology of Paget-Schroetter syndrome (PSS), nutcracker syndrome, and May-Thurner syndrome are discussed in detail, with particular emphasis on the role that interventionalists can play in minimally invasive treatment...
December 2016: Cardiovascular Diagnosis and Therapy
Evan J Zucker, Suvranu Ganguli, Brian B Ghoshhajra, Rajiv Gupta, Anand M Prabhakar
Venous compression syndromes are a unique group of disorders characterized by anatomical extrinsic venous compression, typically in young and otherwise healthy individuals. While uncommon, they may cause serious complications including pain, swelling, deep venous thrombosis (DVT), pulmonary embolism, and post-thrombotic syndrome. The major disease entities are May-Thurner syndrome (MTS), variant iliac vein compression syndrome (IVCS), venous thoracic outlet syndrome (VTOS)/Paget-Schroetter syndrome, nutcracker syndrome (NCS), and popliteal venous compression (PVC)...
December 2016: Cardiovascular Diagnosis and Therapy
James William Ryan, Alexandra Murphy, Sarah Wrafter, Vinny Ramiah
No abstract text is available yet for this article.
December 7, 2016: BMJ Case Reports
H Sanson, V Gautier, A Stansal, D Sfeir, C Franceschi, P Priollet
BACKGROUND: Exercise-induced thrombosis is a rare cause of deep venous thrombosis (DVT) of the upper limb and usually affects young subjects without comorbid conditions. The diagnosis may be challenging. CASE REPORT: A 23-year-old female right-handed French teacher and amateur violin player presented with edema of the root of the right arm associated with erythrocyanosis of the extremity and collateral circulation of the shoulder. History taking revealed oral contraception and recent change in violin playing habits...
December 2016: Journal des Maladies Vasculaires
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 AND PURPOSE: Paget-Schroetter syndrome (PSS) is a rare condition of vein thrombosis that can be manifested in athletes and laborers who overuse their upper extremities. If diagnosed early, PSS can be managed and the symptoms can be fully reversed. Venous duplex ultrasound (US), the modality most commonly used to diagnose deep vein thrombosis (DVT), has high sensitivity and specificity for detecting DVT. This case report describes the differential diagnosis and management of PSS in a weight lifter...
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
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...
March 18, 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
Manoj Meena, Sabarigirivasan Harish, Jai Prakash Kewlani, Neeraj Gupta, Vinay Kumar Meena
No abstract text is available yet for this article.
October 5, 2015: Chinese Medical Journal
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
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