Lytic therapy in the treatment of axillary and subclavian vein thrombosis Edward M. Druy, M.D., Hugh H. Trout, M.D., Joseph M. Giordano, M.D., William.

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Presentation transcript:

Lytic therapy in the treatment of axillary and subclavian vein thrombosis Edward M. Druy, M.D., Hugh H. Trout, M.D., Joseph M. Giordano, M.D., William R. Hix, M.D. Journal of Vascular Surgery Volume 2, Issue 6, Pages 821-827 (November 1985) DOI: 10.1016/0741-5214(85)90129-6 Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 A, Short-segment thrombosis of subclavian vein extending into vena cava (arrows) (Table I, patient 2). B, Following fibrinolysis, flow is restored with no collateral branches present. Only minimal residual deformity is seen. Journal of Vascular Surgery 1985 2, 821-827DOI: (10.1016/0741-5214(85)90129-6) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 A, Twenty-four hours after resection of first rib and scalene anticus muscle previously patent subclavian vein became rethrombosed (Table I, patient 1). B, Following fibrinolysis, marked stenosis is present proximal to junction with superior vena cava (arrowhead). Lucency distal to stenosis represents residual thrombus (arrow). Journal of Vascular Surgery 1985 2, 821-827DOI: (10.1016/0741-5214(85)90129-6) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 A, Contrast material injected through Hickman catheter. Thrombus is present in narrowed segment of left innominate vein (arrows) (Table II, patient 4). B, Following fibrinolysis, innominate vein is patent. Web-like stenosis at junction with superior vena cava is present (arrow). C, Following angioplasty no residual stenosis is present. Pressure gradient is abolished. Journal of Vascular Surgery 1985 2, 821-827DOI: (10.1016/0741-5214(85)90129-6) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions