Long-term clinical and functional outcome following treatment for Paget–Schroetter syndrome

Taylor, Jacqueline; Telford, Richard; Kinsella, D.; Watkinson, Anthony; Thompson, John F.

doi:10.1002/bjs.9279

Cited by 47 publications

(35 citation statements)

References 15 publications

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“…The two modalities of treatment were compared in 117 patients diagnosed with PSS [ 7 ]. In that study, Taylor and colleagues concluded that patients treated surgically had better outcomes than those treated with CDT alone.…”

Section: Discussionmentioning

confidence: 99%

A case of Paget-Schroetter syndrome (PSS) in a young judo tutor: a case report

et al. 2016

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BackgroundWe present a case of unsuspected Paget-Schroetter syndrome (also called effort thrombosis), one of the rare causes of upper extremity deep vein thrombosis. To the best of our knowledge, this was the first such case in our hospital. Our patient may have been discharged with an incomplete diagnosis and inappropriate management but for one of the few physicians who knew about effort thrombosis, made the diagnosis, and referred the patient promptly to the appropriate team.Case presentationA 37-year-old Caucasian man who was an active judo tutor presented to the acute medical unit in our hospital. He had initially presented to his primary care physician complaining of redness and swelling of his right arm and elbow of 1 week’s duration. He had been prescribed some antibiotics by his general practitioner, but his symptoms worsened. At that point, he was referred to our hospital for further review of his arm swelling.ConclusionsWhen considering a diagnosis of deep vein thrombosis, the age, hobbies, and occupation, among other things, of individual patients should be put into context at all times to avoid missing rare causes such as Paget-Schroetter syndrome. This report is intended to raise awareness of this rare condition. Knowledge of this condition and its management is essential for all medical practitioners, especially medical doctors who are involved in unselected medical admissions in accident and emergency or medical admission units, where the majority of such patients are seen.

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Section: Discussionmentioning

confidence: 99%

A case of Paget-Schroetter syndrome (PSS) in a young judo tutor: a case report

et al. 2016

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“…Rates of clot dissolution ranging from 62% to 82% have been reported by various authors depending on the duration of symptoms. [29][30][31] However, the rate of successful thrombolysis after 14 days or more of symptoms is significantly decreased. Molina reported only a 29% success rate in patients treated 2-12 weeks after symptom development.…”

Section: Treatmentmentioning

confidence: 99%

Venous thoracic outlet syndrome

Moore

Lum

2015

Vasc Med

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Venous thoracic outlet syndrome is a complex but rare disease that often can have excellent outcomes if quickly recognized and treated. The syndrome results from compression of the subclavian vein along its exit from the thoracic cavity and frequently affects young otherwise healthy patients. Modern diagnosis is made with a combination of clinical exam, appropriate non-invasive imaging, and, finally, contrast venography, which can be both diagnostic and therapeutic. Treatments have evolved over time to the point where patients can undergo less extensive procedures than previously performed and still maintain excellent outcomes. One of the most important predictors of outcome is the initiation of treatment within 14 days of symptoms. Hence, the importance of the accurate and prompt diagnosis of this syndrome in patients with an upper-extremity deep vein thrombotic episode cannot be further underscored. This review is a concise summary of the background and treatment algorithm for this patient population.

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“…105 This risk decreases to 2% when multimodality therapy (anticoagulation, thrombolysis, and surgical decompression) is used to treat patients. 106 In the long term, the most significant complication is the development of PTS. Although the risk of PTS in children with vTOS is not well studied, a recent retrospective Canadian study of 23 children with primary upper extremity DVT found that 87% of patients had mild to moderate PTS symptoms at a median follow-up of 1.6 years.…”

Section: Special Considerations: Anatomic Predisposition Syndromesmentioning

confidence: 99%

How We Manage Pediatric Deep Venous Thrombosis

Betensky

Bittles

Colombani

et al. 2017

Semin intervent Radiol

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Over the past two decades, the incidence and recognition of venous thromboembolism (VTE) in children has significantly increased, likely as a result of improvements in the medical care of critically ill patients and increased awareness of thrombotic complications among medical providers. Current recommendations for the management of VTE in children are largely based on data from pediatric registries and observational studies, or extrapolated from adult data. The scarcity of high-quality evidence-based recommendations has resulted in marked variations in the management of pediatric VTE among providers. The purpose of this article is to summarize our institutional approach for the management of VTE in children based on available evidence, guidelines, and clinical practice considerations. Therapeutic strategies reviewed in this article include the use of conventional anticoagulants, parenteral targeted anticoagulants, new direct oral anticoagulants, thrombolysis, and mechanical approaches for the management of pediatric VTE.

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Long-term clinical and functional outcome following treatment for Paget–Schroetter syndrome

Abstract: Patients treated surgically for PSS had better functional outcomes than those managed conservatively. Prompt thrombolysis and surgery was superior to delayed management with respect to rethrombosis and functional outcome.

Cited by 47 publications

References 15 publications

A case of Paget-Schroetter syndrome (PSS) in a young judo tutor: a case report

A case of Paget-Schroetter syndrome (PSS) in a young judo tutor: a case report

Venous thoracic outlet syndrome

How We Manage Pediatric Deep Venous Thrombosis

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