Effort thrombosis (Paget-Schroetter syndrome) in active young adults: current concepts in diagnosis and treatment.

Effort thrombosis or Paget-Schroetter syndrome most often affects young, active adults who are engaged in sports activities or whose professions require repetitive arm movements causing trauma to the axillary-subclavian vein and precipitating deep vein thrombosis. The presence of unilateral edema in the upper extremity is often thought to be attributable to trauma from an exercise regimen rather than acute deep vein thrombosis or compression of the subclavian vein by extrinsic anatomic structures. Because this syndrome occurs in young, active adults it has the potential for considerable long-term morbidity if it remains undetected or inadequately treated.

Diagnosis and management of iliac vein compression syndrome.

Iliac vein compression syndrome (IVCS) is the most probable cause of iliofemoral deep venous thrombosis (DVT). One half to two thirds of patients with left-sided iliofemoral DVT have intraluminal webs or spurs from chronic extrinsic compression of the left iliac vein at the crossing point of the right common iliac artery. Approximately 2% to 5% of those with chronic deep venous insufficiency of the left leg may have IVCS.

An early intervention plan for identification and control of chronic lower extremity edema.

Chronic lower extremity edema is one of the most common medical problems; every second person has the problem, and every eighth has advanced problems that require treatment.(1) Treatment interventions for wounded patients and prevention plans to prevent recurrence abound in the literature. However only one reference could be found that identified the need to intervene before wounding occurs, and no plan for intervention was proposed.