Paget-Schroetter Syndrome in a Baseball Pitcher

Yagi, Shusuke; Mitsugi, Minoru; Sangawa, Teruaki; Akiyama, Masashi; Sata, Masataka

doi:10.1536/ihj.16-447

Cited by 9 publications

(10 citation statements)

References 8 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Vascular ultrasonography has a high diagnostic accuracy for PSS (4), however, it is not normally performed unless physicians consider PSS in the differential diagnosis. Fourteen patients first presented to an emergency department (9,13,17,20,21,(24)(25)(26)(27), which was the most frequent department visited in our research. Five patients were first seen at a primary care clinic (3,7,8).…”

Section: Discussionmentioning

confidence: 96%

“…Only one patient had a history of coagulopathy (6). The left (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27). In four patients, both sides were affected (20,(28)(29)(30).…”

Section: Discussionmentioning

confidence: 99%

“…All patients had swelling of the upper arm, skin color change, and pain. In 22 cases, PSS was confirmed via vascular ultrasonography examinations ( 6 - 10 , 13 - 15 , 17 , 19 , 20 , 22 - 26 , 28 , 29 ). A diagnosis of PSS was made after an average of 10 days.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Two Patients with Paget-Schroetter Syndrome That Were Successfully Diagnosed by Doppler Ultrasonography: Case Studies with a Literature Review

et al. 2020

View full text Add to dashboard Cite

We herein report on two male patients (age, 22 and 44 years) who were referred to our department with swelling of the upper right arm after attending other hospitals. Right subclavian vein thrombosis was demonstrated by ultrasonography and they were then further evaluated by contrast-enhanced computed tomography (CT). Successful treatment involved venous thrombectomy in one patient and anticoagulant therapy in the other. Paget-Schhroetter syndrome was confirmed using standard vascular ultrasonography. Despite the accuracy of this method for diagnosing Paget-Schroetter syndrome, some cases are difficult to confirm. We reviewed 29 previously published case reports of Paget-Schroetter syndrome and analyzed the patient baseline characteristics, time to diagnosis, and the diagnostic methods used.

show abstract

Section: Discussionmentioning

confidence: 96%

“…Only one patient had a history of coagulopathy (6). The left (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27). In four patients, both sides were affected (20,(28)(29)(30).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Two Patients with Paget-Schroetter Syndrome That Were Successfully Diagnosed by Doppler Ultrasonography: Case Studies with a Literature Review

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Однако при неокклюзивном характере поражения течение синдрома может быть бессимптомным. 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].…”

Section: Introductionunclassified

“…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

View full text Add to dashboard Cite

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.

show abstract

Paget‐Schroetter syndrome from manual handling at work: Case report and review of the literature

Heo

Medani

Juma

2022

American J Industrial Med

View full text Add to dashboard Cite

Paget-Schroetter syndrome (PSS) is a primary deep venous thrombosis of the subclavian-axillary vein complex occurring after repetitive and strenuous use of the shoulders and arms. Here, we report the case of a 24-year-old man who presented with left subclavian and axillary vein thrombosis after loading and unloading labor, who was diagnosed with PSS confirmed with Doppler ultrasound, and treated with anticoagulation. By comparing our case with 45 published case reports, we also aim to analyze patient characteristics, diagnostic methods, and treatment options for the disorder.

show abstract

Paget-Schroetter Syndrome in a Baseball Pitcher

Cited by 9 publications

References 8 publications

Two Patients with Paget-Schroetter Syndrome That Were Successfully Diagnosed by Doppler Ultrasonography: Case Studies with a Literature Review

Two Patients with Paget-Schroetter Syndrome That Were Successfully Diagnosed by Doppler Ultrasonography: Case Studies with a Literature Review

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

Paget‐Schroetter syndrome from manual handling at work: Case report and review of the literature

Contact Info

Product

Resources

About