Initial experience with venous stents in exertional axillary-subclavian vein thrombosis.
| Autor: | Meier GH; Section of Vascular Surgery, Yale University School of Medicine, Yale-New Haven Hospital, CT 06510, USA., Pollak JS, Rosenblatt M, Dickey KW, Gusberg RJ |
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| Jazyk: | angličtina |
| Zdroj: | Journal of vascular surgery [J Vasc Surg] 1996 Dec; Vol. 24 (6), pp. 974-81; discussion 981-3. |
| DOI: | 10.1016/s0741-5214(96)70043-5 |
| Abstrakt: | Purpose: Exertional thrombosis of the axillary and subclavian veins, also known as Paget-Schrötter syndrome, has been increasingly recognized in recent years as a cause of long-term morbidity. Recent aggressive approaches to treating Paget-Schrötter syndrome have suggested the association of early failure with residual subclavian vein stenosis. As a result, the use of endoluminal stents has been proposed as an aid to venous percutaneous transluminal angioplasty for this disorder. Methods: This report outlines the therapy of 11 consecutive patients with Paget-Schrötter syndrome who were treated at our institution between October, 1992, and December, 1995. Stents were placed when percutaneous transluminal angioplasty was unsuccessful at achieving an adequate residual lumen. Results: Stents were placed after initial thrombolysis in six patients and in late follow-up in two patients. Of the six patients who had stents placed at initial thrombolysis, first-rib resection was eventually performed in four. In two patients first-rib resection was not performed, and stent fracture occurred in both. Late patency was achieved in the stents of six of the eight patients. Conclusions: Trials to evaluate stents as an adjunct to conventional therapy seem warranted. The use of stents alone without first-rib resection, however, appears to be associated with stent fracture. |
| Databáze: | MEDLINE |
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