A case report on 2 unique presentations of upper extremity deep vein thrombosis

Yünce, Muharrem; Sharma, Ashwyn K.; Braunstein, Evan M.; Streiff, Michael B.; Lum, Ying Wei

doi:10.1097/md.0000000000009944

Cited by 9 publications

(10 citation statements)

References 8 publications

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“…For this, a rapid diagnosis is of key importance, which is to be followed by venography and catheter-directed thrombolysis combined with subsequent decompression surgery. Based on the literature and the results in our own patients, the majority of patients, who have successful local lytic therapy and surgical treatment within the first two weeks, have better long-term results [10,25]. However, the publications do not uniformly assess the precise timing of the operation [5,10,12].…”

Section: Discussionmentioning

confidence: 99%

“…Successful catheter-directed thrombolysis followed by anticoagulation alone and no surgical decompression carries a risk of recurrence as high as 25 % [16,25].…”

Section: Discussionmentioning

confidence: 99%

“…The possibility of a subclavian vein thrombosis in the context of a thoracic inlet syndrome (TIS) should always be considered in young otherwise healthy patients, who have a sudden onset of arm swelling (especially with activities involving movements above the head, such as lifting weights) or otherwise inexplicable pulmonary emboli [25].…”

Section: Introductionmentioning

confidence: 99%

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Treatment of venous thoracic inlet syndrome – Specialties in athletes

2019

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Thoracic inlet syndrome (TIS), also known as Paget-Schroetter syndrome, is a relatively rare form of thoracic outlet syndrome. It is considered to be a consequence of compression and repetitive injury of the subclavian vein between the first ribs and the overlying clavicle, the scalenus anterior muscle, subclavius muscle and costoclavicular ligament. While relatively uncommon, this condition is probably the most frequently encountered vascular disorder in the young, healthy, competitive athlete. Although the treatment options to be considered for TIS are similar for all patients, competitive athletes often present special circumstances that need to be taken into account in the decision-making process. With early recognition, proper treatment with early thrombolysis, anticoagulation, surgical decompression and rehabilitation, most athletes can return to previous levels of performance within several months. There were 184 patients treated due to compression syndrome of the upper thoracic outlet between 2013–2016. We will report on the therapy and disease management of 5 professional athletes with TIS. In addition to the report, we are presenting the results of a relevant literature search.

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Section: Discussionmentioning

confidence: 99%

“…Successful catheter-directed thrombolysis followed by anticoagulation alone and no surgical decompression carries a risk of recurrence as high as 25 % [16,25].…”

Section: Discussionmentioning

confidence: 99%

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Treatment of venous thoracic inlet syndrome – Specialties in athletes

2019

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“…Основные жалобы пациентов при СПШ включают отек пораженной конечности, дискомфорт при движении пораженной руки, боль и тяжесть при попытке поднятия руки кверху [11,13]. При осмотре данных пациентов обращают внимание гиперемия кожных покровов или их цианотичность, пастозность конечности [14,15], а также усиленный венозный рисунок на плече, так называемый знак Аршеля [13,16]. Отягощенный по венозным тромбозам семейный анамнез, наличие факторов риска не характерны для СПШ, также как достаточно редким являются случаи развития тромбоэмболических осложнений, а именно тромбоэмболии легочной артерии [14].…”

Section: Introductionunclassified

Modern approaches in the treatment of patients with Paget-Schretter syndrome

Sonkin

Syromyatnikova

Alieva

et al. 2021

Evrazijskij kardiologičeskij žurnal

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Goal. Consider the management of patients with effort thrombosis (Paget-Schretter syndrome).The article presents the modern vision of the problem of effort thrombosis. This review is aimed at describing the epidemiology, pathophysiology, diagnosis and treatment of patients with Paget-Schretter syndrome. SPS occurs spontaneously, as a rule, in young, healthy and active patients aged 20-30 years after strenuous physical activity. The ratio of men and women is 2:1, recently there has been a growing trend among women. The main complaints of patients with SPS include swelling of the affected limb, discomfort when moving the affected arm, pain and heaviness when trying to raise the arm up. When examining these patients, attention is paid to hyperemia of the skin or their cyanotic nature, pasty limbs, as well as an enhanced venous pattern on the shoulder, the so-called Arshel sign. The diagnosis is based on the data of anamnesis, physical examination, the “gold standard of diagnostics” – ultrasound examination of veins, the sensitivity and specificity of which is 70-100%. The first step in the diagnosis can be the evaluation of the D-dimer, with its negative values, the SPSH is rejected. With an obvious clinic and controversial results of serial ultrasound examinations, other imaging methods are used, such as computed contrast tomography, magnetic resonance imaging, the diagnostic value of which is especially significant in occlusive venous thrombosis.SPS differs not only from DVT of the lower extremities, but also from secondary DVT of the upper extremities, which determines the peculiarities of management of this category of patients, including surgical treatment aimed at preventing subclavian vein compression in the future. The article summarizes the experience in the management of patients with blood thrombosis.

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“…The annual incidence of UEDVT is about 1/100,000 or 2/100,000. 1,2 Although most of the DVT occurs in the lower extremities, UEDVT is a clinical entity with potentially devastating complications 3 and has similar incidence for the risk of pulmonary embolism. 4 Prompt diagnosis of this condition is paramount, and early intervention is generally recommended to reduce the risk of thromboembolic complications and pulmonary embolism.…”

Section: Introductionmentioning

confidence: 99%

Subclavian vein thrombosis and fatal pulmonary embolism after proximal humerus fracture surgery

Wang

Sang

2019

J Orthop Surg (Hong Kong)

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Deep vein thrombosis and pulmonary embolism, collectively referred to as venous thromboembolism, constitute a major global burden of disease. Although deep vein thrombosis in the upper extremity is less common than lower extremity, it has been associated with similar adverse consequences. We have had experienced with one case of subclavian vein thrombosis and fatal pulmonary embolism after proximal humeral fracture surgery. The purpose of our report is to raise awareness to orthopedic surgeons that pulmonary embolism can occur with proximal humeral fracture surgery and patients with high risk factors should be considered for anticoagulation therapy.

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A case report on 2 unique presentations of upper extremity deep vein thrombosis

Cited by 9 publications

References 8 publications

Treatment of venous thoracic inlet syndrome – Specialties in athletes

Treatment of venous thoracic inlet syndrome – Specialties in athletes

Modern approaches in the treatment of patients with Paget-Schretter syndrome

Subclavian vein thrombosis and fatal pulmonary embolism after proximal humerus fracture surgery

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