Graham Keir, MM, M. Blair Marshall, MD The Annals of Thoracic Surgery

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Management Strategy for Patients With Chronic Subclavian Vein Thrombosis Graham Keir, MM, M. Blair Marshall, MD The Annals of Thoracic Surgery Volume 103, Issue 2, Pages 672-675 (February 2017) DOI: 10.1016/j.athoracsur.2016.09.051 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Treatment algorithm for patients with chronic and subacute Paget-Schroetter (PS) syndrome. Choice of procedure is based on the severity of the symptoms and status of the vein. Adequate inflow is defined by Molina and colleagues [5] as an axillary vein diameter of at least 1 cm with no extensive network of collaterals. All patients are postoperatively maintained on anticoagulation. The saphenous patch protocol is based on the results of Molina and colleagues. The jugular vein transposition protocol is based on the results of Sanders and Cooper [22]. The protocol for patients with mild symptoms is based on the results of de Léon and colleagues [16]. (FRRS = first rib resection and scalenectomy.) The Annals of Thoracic Surgery 2017 103, 672-675DOI: (10.1016/j.athoracsur.2016.09.051) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions