Life-threatening acute and chronic thromboembolic pulmonary hypertension and subclavian vein thrombosis

Meier, Mark A.; Rubenfire, Melvyn

doi:10.1002/clc.4960290304

Cited by 4 publications

(3 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…DVT is a common condition, but only 2 -4% of all DVTs involve the upper limb. [1][2][3][4][5][6] Primary subclavian vein thrombosis is a relatively uncommon condition, affecting 2/100 000 people per year, which represents 15 -24% of all upper limb DVTs, 7,8 but it is the most common vascular disorder affecting professional, collegiate or highschool athletes.…”

Section: Discussionmentioning

confidence: 99%

“…2,3,[5][6][7][8]10,11 Another synonym for the condition in literature is 'effort thrombosis', which emphasises the causal relationship between certain forms of exercise and thrombosis of the subclavian vein. 4,6 This relationship was first identified by Von Schroetter in 1899.…”

Section: 79mentioning

confidence: 92%

“…2,10 Thrombosis occurs most commonly at the level of the subclavian vein where it crosses the thoracic outlet and may be compressed. 4 Lifting of heavy weights can also cause compression of the vein in the thoracic outlet by depression of the shoulder, causing compression of the vein between the clavicle and first rib.…”

Section: 461011mentioning

confidence: 99%

See 2 more Smart Citations

Effort thrombosis: A case study and discussion

Collins

2010

S. Afr. j. sports med.

View full text Add to dashboard Cite

Paget-Schroetter syndrome or effort thrombosis is a rare condition with potentially severe consequences, affecting young and otherwise healthy athletes. Its classic clinical presentation should be rapidly identified to promote early diagnosis and treatment. This prevents recurrences and long-term complications such as persistent swelling of the affected arm. In a 1-year period we saw two young male athletes with this condition. One was treated conservatively and the other surgically, with vastly different outcomes. We therefore present their cases as well as a review of relevant literature to emphasise treatment of this rare condition.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: 79mentioning

confidence: 92%

See 1 more Smart Citation

Effort thrombosis: A case study and discussion

Collins

2010

S. Afr. j. sports med.

View full text Add to dashboard Cite

show abstract

Chronic thromboembolic pulmonary hypertension from synchronous idiopathic upper extremity deep vein thrombosis and pulmonary embolism

et al. 2020

View full text Add to dashboard Cite

Upper Limb Deep Vein Thrombosis: A Literature Review to Streamline the Protocol for Management

et al. 2007

View full text Add to dashboard Cite

Objective: The objective of this article is to provide up-to-date information about aetiology, pathogenesis, diagnostic modalities and treatment of upper limb deep vein thrombosis (ULDVT). Methods: Generic terms including ULDVT, axillary-subclavian DVT, and complications of central venous catheters were searched on electronic database. We analysed original studies, review articles and evaluation studies published over the last 25 years. Results: Forty-seven studies on ULDVT encompassing 2,557 patients were evaluated. The incidence of ULDVT was quoted 1–4% of the total DVT. Primary ULDVT (20% of the total) was due to activity-related venous trauma. Secondary ULDVT (80% of the total) was due to central venous catheters and malignancy. Duplex ultrasound (sensitivity 78–100% and specificity 82–100%), contrast venography (gold standard) and magnetic resonance venography were the diagnostic tools used. Pulmonary embolism (2–35%) and post-thrombotic syndrome (7–46%) were the main sequelae. Anticoagulation was the universal intervention, giving 79% symptom relief (13.2% rethrombosis rate). Thrombolysis and/or percutaneous thrombectomy were used in 38% of cases for the management of ULDVT, giving 83% symptom relief (90% recanalization rate and 9% rethrombosis rate). Surgical decompression, venous angioplasty and superior vena cava filters were the main adjunctive interventions. Conclusion: ULDVT, although rare, is associated with considerable morbidity and mortality (29–40%) due to potential risks of pulmonary embolism, post-thrombotic syndrome and loss of vascular access. Simple anticoagulation is suitable for the majority of patients. Thrombolysis/thrombectomy is often successful but less frequently used. Surgical decompression, venous angioplasty and superior vena cava filters have some role in recurrent cases. An optimal management protocol can be established using a multimodality approach.

show abstract

Life-threatening acute and chronic thromboembolic pulmonary hypertension and subclavian vein thrombosis

Cited by 4 publications

References 23 publications

Effort thrombosis: A case study and discussion

Effort thrombosis: A case study and discussion

Chronic thromboembolic pulmonary hypertension from synchronous idiopathic upper extremity deep vein thrombosis and pulmonary embolism

Upper Limb Deep Vein Thrombosis: A Literature Review to Streamline the Protocol for Management

Contact Info

Product

Resources

About