Streptokinase in the treatment of subclavian vein thrombosis

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Presentation transcript:

Streptokinase in the treatment of subclavian vein thrombosis David L. Steed, M.D., Michael F. Teodori, M.D., Andrew B. Peitzman, M.D., Clyde E. McAuley, M.D., Wishwa N. Kapoor, M.D., Marshall W. Webster, M.D. Journal of Vascular Surgery Volume 4, Issue 1, Pages 28-32 (July 1986) DOI: 10.1016/0741-5214(86)90319-8 Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Case 2: Venogram of 22-year-old man with clot in right axillary and subclavian veins from “effort” thrombosis (arrow). Journal of Vascular Surgery 1986 4, 28-32DOI: (10.1016/0741-5214(86)90319-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Case 2: Although patency returned after systemic streptokinase infusion, thrombus remains within subclavian vein (arrows). Journal of Vascular Surgery 1986 4, 28-32DOI: (10.1016/0741-5214(86)90319-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Case 4: Venogram of 47-year-old woman demonstrates thrombosis of right axillary and subclavian veins resulting from use of central venous pressure catheter (arrow). Journal of Vascular Surgery 1986 4, 28-32DOI: (10.1016/0741-5214(86)90319-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Case 4: Catheter (see Fig. 3.) was not removed (black arrows) and there is only partial improvement after streptokinase systemic therapy (open arrows). Journal of Vascular Surgery 1986 4, 28-32DOI: (10.1016/0741-5214(86)90319-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Case 7: Venogram of 64-year-old man shows clot in left subclavian vein resulting from central venous pressure catheter (arrows). Journal of Vascular Surgery 1986 4, 28-32DOI: (10.1016/0741-5214(86)90319-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Case 7: Venogram shows near-total resolution of thrombus with low-dose streptokinase therapy infused locally (arrow). Journal of Vascular Surgery 1986 4, 28-32DOI: (10.1016/0741-5214(86)90319-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions