Paget-Schroetter syndrome (PSS) is a rare form of thoracic outlet syndrome caused by axillosubclavian vein thrombosis which typically presents in healthy young adults. Prompt therapy, traditionally by means of catheter-directed thrombolysis (CDT) prior to definitive surgery, can prevent the subsequent onset of postthrombotic syndrome (PTS) and considerable disability. As CDT is associated with major haemorrhage and high overall treatment cost, pharmacomechanical thrombectomy (PMT) seems to be an attractive alternative which combines pharmacological thrombolysis with mechanical clot disruption. The Trellis-8 peripheral infusion catheter is an example of such a treatment which provides topical thrombolysis in an isolated zone. We describe the use of the Trellis-8 PMT system in the successful management of three patients with PSS.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3582099 | PMC |
| http://dx.doi.org/10.1155/2013/214804 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Venous thromboembolism treatment failure during use of factor Xa inhibitors-association with thoracic outlet syndrome and development of chronic thromboembolic pulmonary hypertension.
Ann Med
December 2024
Heart and Lung Center, Cardiology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Article Synopsis
- Factor Xa inhibitors are commonly used to treat venous thromboembolism (VTE), but a small percentage of patients experience treatment failure, prompting this study to explore the causes of recurrent VTE in those receiving FXaIs.
- The study included ten patients, mostly young adults with significant underlying VTE risk factors despite initial assessments suggesting unprovoked VTE, highlighting conditions like thoracic outlet syndrome contributing to their risks.
- Results indicated that treatment failure occurred within a few months, often leading to serious complications like chronic thromboembolic pulmonary hypertension, and emphasized the importance of tailored treatment strategies and careful risk evaluation for patients with recurrent VTE.
Article Synopsis
- A 57-year-old man developed deep vein thrombosis (DVT) in his left arm, decades after a clavicle fracture.
- A CT scan revealed that the left jugular vein was compressed due to a complication called pseudoarthrosis from the old fracture.
- The patient received treatment through thrombolysis and surgery to relieve the compression, emphasizing the need to investigate various causes for upper extremity DVT.
Robotic-assisted thoracoscopic surgery first rib resection-surgical technique.
J Thorac Dis
October 2024
Division of Thoracic Surgery, Cantonal Hospital Lucerne, Lucerne, Switzerland.
Thoracic outlet syndrome (TOS) is a rare condition resulting from the compression of the brachial plexus and/or the subclavian vessels in the thoracic outlet (TO). Neurogenic TOS (NTOS) is the most common form in up to 95% of the cases, while venous TOS (VTOS) occurs in 3-5% and arterial TOS (ATOS) in 1-2% of the cases. Patients may suffer from the pathologic coexistence of arterio-venous compression in the TO called arterio-venous TOS (AVTOS) with an overlap of clinical symptoms.
View Article and Find Full Text PDFRib-sparing subclavian vein decompression in venous thoracic outlet syndrome.
J Plast Reconstr Aesthet Surg
October 2024
Clinical Laboratory for Bionic Extremity Reconstruction, University Clinic for Plastic Reconstructive and Aesthetic Surgery, Medical University Vienna, Vienna, Austria; University Clinic for Plastic Reconstructive and Aesthetic Surgery, Medical University, Vienna, Austria. Electronic address:
Objective: Venous thoracic outlet syndrome (VTOS), a compression syndrome of the subclavian vein at the costoclavicular junction, is commonly treated with first rib resection. This invasive procedure carries a risk of serious complications. The purpose of this single-center cross-sectional study was to evaluate the long-term outcome of non-bony decompression by resection of the subclavius muscle and tendon and to provide a detailed description of the procedure.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!