A Multidisciplinary Approach to the Treatment of Paget-Schroetter Syndrome

Adelman, Mark A.; Stone, David H.; Riles, Thomas S.; Lamparello, Patrick J.; Giangola, Gary; Rosen, Robert J.

doi:10.1007/s100169900025

Cited by 88 publications

(67 citation statements)

References 17 publications

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“…6 After surgery, venography can assess residual stricture, which should be treated with balloon venoplasty; if this fails, vein stenting can be considered. Long-term patency has been documented with this multimodal approach [23,27,35,36]. Surgical thrombectomy restores venous patency but is invasive, carries the risk of general anesthesia, and may be complicated by pneumothorax and brachial plexus damage.…”

Section: Surgerymentioning

confidence: 99%

“…As few as one half to as many as three fourths of these patients may develop this long-term complication [22,40,41]. Multimodal therapy that includes thrombolysis, will prevent these symptoms in the majority of patients [22,35,36,40]. Those with primary UEDVT are usually young and healthy, more active, live longer, and are not troubled by other chronic medical conditions.…”

Section: Complication and Prognosismentioning

confidence: 99%

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A Case of Idiopathic Upper Extremitiy Deep Vein Thrombosis

2015

IJSR

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Section: Surgerymentioning

confidence: 99%

Section: Complication and Prognosismentioning

confidence: 99%

A Case of Idiopathic Upper Extremitiy Deep Vein Thrombosis

2015

IJSR

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“…Torsions of 1080 o have been safely removed laparoscopically. 29 Crucial steps involve decompression, detorsion, and obtaining the critical view during cholecystectomy. 14 Meticulous dissection is essential, because the common bile duct may be at the anterior margin of the liver when twisted, making it susceptible to iatrogenic injury.…”

Section: Illustrative Casementioning

confidence: 99%

A Clinician’s Guide to the Diagnosis and Management of Gallbladder Volvulus

Pottorf

Alfaro²,

Hollis³

2013

TPJ

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“…[8][9][10] Multiple case reports and case series have documented the evolution of clinical recognition and treatment of this disorder. [4][5][6][9][10][11][12][13][14][15][16][17][18][19][20][21][22] The most common presentation is acute swelling of the dominant extremity; antecedent trauma or repetitive overhead activity has occasionally occurred. 5,6,16 Early recognition and aggressive treatment of this disorder has been recommended to avoid the long-term sequelae associated with chronic venous obstruction.…”

mentioning

confidence: 99%

Unique Treatment Regimen for Effort Thrombosis in the Nondominant Extremity of an Overhead Athlete: A Case Report

Snead

Marberry

Rowdon

2009

Journal of Athletic Training

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Objective: To advise athletic trainers on the potential for effort thrombosis to occur in nonthrowing athletes and to underscore the importance of early recognition and treatment. Background: An 18-year-old offensive lineman presented with a 1-day history of diffuse shoulder pain with no specific history of injury; swelling and erythema involved the entire left upper extremity. He was immediately referred to the team physician, who suspected deep vein thrombosis and sent the athlete to an imaging center. Duplex ultrasound was obtained on the day of presentation, and he was admitted to the hospital that evening. Differential Diagnosis: Deep vein thrombosis, thoracic outlet syndrome, shoulder tendinitis. Treatment: Anticoagulation with heparin was administered at the hospital, and he was sent home the next day on subcutaneous enoxaparin sodium, followed by a 5-mg daily dose of oral warfarin sodium. Oral anticoagulants were continued for a total of 4 weeks. The athlete began upper body lifting and was released 5 weeks postinjury to gradually return to football without restrictions. Uniqueness: Effort thrombosis is typically seen in the dominant arm of athletes, and the current treatment protocol calls for thrombolysis or surgical intervention. This athlete, whose position required repeated elevation of his arms in forward flexion, sustained the injury in his nondominant arm, was treated with anticoagulation only, and had a full return to football. At 18-month follow-up, he had no recurrence of symptoms. Conclusions: Early recognition and treatment of athletes with effort thrombosis is paramount to a successful clinical outcome and prompt return to play.

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A Multidisciplinary Approach to the Treatment of Paget-Schroetter Syndrome

Cited by 88 publications

References 17 publications

A Case of Idiopathic Upper Extremitiy Deep Vein Thrombosis

A Case of Idiopathic Upper Extremitiy Deep Vein Thrombosis

A Clinician’s Guide to the Diagnosis and Management of Gallbladder Volvulus

Unique Treatment Regimen for Effort Thrombosis in the Nondominant Extremity of an Overhead Athlete: A Case Report

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