Venous Thoracic Outlet Compression and the Paget-Schroetter Syndrome: A Review and Recommendations for Management
| Autor: | A. F. Watkinson, J. F. Thompson, R. J. Winterborn, D. C. Kinsella, S. Bays, H. White |
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| Rok vydání: | 2011 |
| Předmět: |
Thorax
Thoracic outlet medicine.medical_specialty Percutaneous Decompression business.industry medicine.medical_treatment Deep vein Ribs Thrombolysis medicine.disease Thrombosis Surgery Thoracic Outlet Syndrome medicine.anatomical_structure Deep vein thrombosis (DVT) Upper Extremity Deep Vein Thrombosis medicine Humans Radiology Nuclear Medicine and imaging Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures |
| Zdroj: | CardioVascular and Interventional Radiology. 34:903-910 |
| ISSN: | 1432-086X 0174-1551 |
| DOI: | 10.1007/s00270-011-0148-4 |
| Popis: | Paget Schroetter syndrome, or effort thrombosis of the axillosubclavian venous system, is distinct from other forms of upper limb deep vein thrombosis. It occurs in younger patients and often is secondary to competitive sport, music, or strenuous occupation. If untreated, there is a higher incidence of disabling venous hypertension than was previously appreciated. Anticoagulation alone or in combination with thrombolysis leads to a high rate of rethrombosis. We have established a multidisciplinary protocol over 15 years, based on careful patient selection and a combination of lysis, decompressive surgery, and postoperative percutaneous venoplasty. During the past 10 years, a total of 232 decompression procedures have been performed. This article reviews the literature and presents the Exeter Protocol along with practical recommendations for management. |
| Databáze: | OpenAIRE |
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