Outcome after thrombolysis and selective thoracic outlet decompression for primary axillary vein thrombosis

Lokanathan, Ramesh; Salvian, Anthony J.; Chen, Jerry C.; Morris, Christopher S.; Taylor, David; Hsiang, York

doi:10.1067/mva.2001.112708

Cited by 60 publications

(30 citation statements)

References 22 publications

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“…One of the reasons for this increasing interest might be its broader applicability for disorders of the whole upper extremity (14)(15)(16)(17) compared to instruments which measure only shoulder function such as the SPADI (18,19) or the shoulder instrument developed by Croft et al (10).…”

Section: Introductionmentioning

confidence: 99%

Validation of a German version of the 'Disabilities of Arm, Shoulder and Hand' questionnaire (DASH-G)

Offenbächer

Ewert

Sangha

et al. 2003

Zeitschrift f�r Rheumatologie

146

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Section: Introductionmentioning

confidence: 99%

Validation of a German version of the 'Disabilities of Arm, Shoulder and Hand' questionnaire (DASH-G)

Offenbächer

Ewert

Sangha

et al. 2003

Zeitschrift f�r Rheumatologie

146

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“…Definitive data on the treatment of this condition is yet to be published. The conservative, conventional approach of early anticoagulation 5 has evolved to include catheter‐directed thrombolysis 6–8 . For primary disease, further surgical treatment options include early or late thoracic outlet decompression (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…first rib resection, scalenectomy, resection of a clavicular callus) in selected cases, which, although controversial, has also been shown to be effective 9 . For secondary disease or residual stenosis following thrombolysis, endovascular treatment with balloon angioplasty and stent placement is effective with a low incidence of significant complications and good long‐term patency rates 6,8 . Venous revascularization surgery (e.g.…”

Section: Discussionmentioning

confidence: 99%

Multidetector spiral CT venography in the diagnosis of upper extremity deep venous thrombosis

Sabharwal¹,

Boshell²,

Vladica³

2007

Australasian Radiology

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Upper extremity deep vein thrombosis is a rare thrombotic disorder (1-4% of all DVT) which has the potential for considerable morbidity. We present a case which demonstrates the limitations in diagnostic accuracy of ultrasonography in the diagnosis of upper extremity deep venous thrombosis. Multidetector spiral computed tomography (CT) continues to evolve as a state of the art imaging modality and our case demonstrates the role and value of multidetector spiral CT venography (CTV) in the diagnosis of upper extremity deep venous thrombosis.

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“…When the patency is not completely restored after fibrinolysis or after surgical venous thrombectomy, correction of the endoluminal venous anomaly (synechia, valve) may be performed by means of an endophlebectomy. This intervention is rarely reported in the literature (49,50). It's performed via a large infraclavicular incision after resection of the 1 st rib.…”

Section: Revascularization Surgerymentioning

confidence: 96%

The Paget-Schroetter Syndrome

Feugier

Chevalier

2005

Acta Chirurgica Belgica

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Primary axillo-subclavian venous thrombosis is pathology of the young working man. It affects above all the main upper limb and arises during a physical activity of the shoulder. Its aetiology is complex and multifactorial. It is most often the consequence of a chronic compression of the subclavian vein at the level of the thoracic outlet. Clinical presentation can be confirmed with a duplex scan investigation.Early diagnosis offers the opportunity for rapid venous recanalisation with an anticoagulation treatment. A fibrinolytic therapy can be started in the same session of the phlebography. In case of success, a dynamic phlebography is performed to confirm the existence of a venous thoracic outlet syndrome. Even if indications for surgical management of primary subclavian vein thrombosis are still controversial, it is actually clear that this multidisciplinary management of these patients has to be as early as possible. Decompression of the thoracic outlet can be performed secondarily using various techniques including first-rib resection. Should this approach fail to re-establish patency, leaving some residual disabling of the arm, axillo-subclavian vein revascularization can provide good mid-term results.

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Outcome after thrombolysis and selective thoracic outlet decompression for primary axillary vein thrombosis

Abstract: Thrombolysis, followed by selective thoracic outlet decompression on the basis of the severity of patients' symptoms can be used as a therapeutic approach to SAVT without undue morbidity. The DASH questionnaire is a useful tool to evaluate results after therapy for SAVT.

Cited by 60 publications

References 22 publications

Validation of a German version of the 'Disabilities of Arm, Shoulder and Hand' questionnaire (DASH-G)

Validation of a German version of the 'Disabilities of Arm, Shoulder and Hand' questionnaire (DASH-G)

Multidetector spiral CT venography in the diagnosis of upper extremity deep venous thrombosis

The Paget-Schroetter Syndrome

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