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Subhash Thakur, MD, Anthony J. Comerota, MD, FACS, FACC, RVT 

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Presentation on theme: "Subhash Thakur, MD, Anthony J. Comerota, MD, FACS, FACC, RVT "— Presentation transcript:

1 Bilateral nonthrombotic subclavian vein obstruction causing upper extremity venous claudication 
Subhash Thakur, MD, Anthony J. Comerota, MD, FACS, FACC, RVT  Journal of Vascular Surgery  Volume 52, Issue 1, Pages (July 2010) DOI: /j.jvs Copyright © 2010 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Phlebography of patient's symptomatic left upper extremity (A) reveals collateral development. (B) Upon abduction, occlusion of the subclavian vein is shown. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

3 Fig 2 (A) Patient's right upper extremity was asymptomatic, but (B) abduction demonstrated occlusion of the subclavian vein with drainage from extensive collaterals. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Operative photograph of the anatomy of the axillary space and thoracic outlet as seen through the transaxillary approach to first rib resection. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Venogram 1 day after left first rib resection following balloon dilation. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

6 Fig 5 (A) Venogram showing preoperative right subclavian vein occlusion (arrow) in hyperabducted position and (B) normal anatomy with restored venous drainage when hyperabducted. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

7 Fig 6 Venogram of left axillosubclavian veins 2 years following left first rib resection. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

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