Evaluation of a new treatment strategy for Paget-Schroetter syndrome: Spontaneous thrombosis of the axillary-subclavian vein Herbert I. Machleder, MD

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Presentation transcript:

Evaluation of a new treatment strategy for Paget-Schroetter syndrome: Spontaneous thrombosis of the axillary-subclavian vein Herbert I. Machleder, MD Journal of Vascular Surgery Volume 17, Issue 2, Pages 305-317 (February 1993) DOI: 10.1016/0741-5214(93)90416-J Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 A, Thrombosis of right axillary-subclavian vein in 24-year-old woman. B, Residual compressive abnormality at costoclavicular space after successful thrombolytic therapy.10 Journal of Vascular Surgery 1993 17, 305-317DOI: (10.1016/0741-5214(93)90416-J) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 A, View of thoracic outlet from transaxillary approach. B, Typical compressive abnormality seen in Paget-Schroetter syndrome.4 Journal of Vascular Surgery 1993 17, 305-317DOI: (10.1016/0741-5214(93)90416-J) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Episodes of venographically documented axillary-subclavian vein thrombosis (before surgical correction) in 50 consecutive patients. Journal of Vascular Surgery 1993 17, 305-317DOI: (10.1016/0741-5214(93)90416-J) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Status of axillary-subclavian vein after initial medical therapy for acute thrombosis. Journal of Vascular Surgery 1993 17, 305-317DOI: (10.1016/0741-5214(93)90416-J) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 A, Attempt at balloon angioplasty before removal of first rib. B, Compressive abnormality remains after four inflations for up to 20 minutes (arrow). Journal of Vascular Surgery 1993 17, 305-317DOI: (10.1016/0741-5214(93)90416-J) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 A, Residual stricture after first rib resection in 28-year-old man. B, After balloon angioplasty. C, One-year follow-up venogram in stress position. Journal of Vascular Surgery 1993 17, 305-317DOI: (10.1016/0741-5214(93)90416-J) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 7 Final axillary-subclavian vein status as assessed by venography in 49 patients (mean follow-up time 29 months). Journal of Vascular Surgery 1993 17, 305-317DOI: (10.1016/0741-5214(93)90416-J) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 8 Final clinical status of 50 patients at conclusion of study (mean follow-up time 3.1 years). Journal of Vascular Surgery 1993 17, 305-317DOI: (10.1016/0741-5214(93)90416-J) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions