Paget-von Schrötter Syndrome: Primary Subclavian-axillary Vein Thrombosis in Sport Activities

Ma, Chaudhry; Hajarnavis, J.

doi:10.1097/00042752-200307000-00012

Cited by 13 publications

(8 citation statements)

References 6 publications

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“…Existing information is, unfortunately, limited regarding the outcomes of treatment for effort thrombosis in the competitive athlete and consists largely of single case reports or small components of clinical series. 11,[20][21][22][23][24][25][26][27][28] To our knowledge, the present study therefore represents the largest collected series of competitive athletes treated for venous TOS reported to date.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive surgical management of the competitive athlete with effort thrombosis of the subclavian vein (Paget-Schroetter syndrome)

Melby

Vedantham

Narra

et al. 2008

Journal of Vascular Surgery

160

104

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Successful outcomes were achieved for the management of effort thrombosis in a series of 32 competitive athletes using a multidisciplinary approach based on (1) early diagnostic venography, thrombolysis, and tertiary referral; (2) paraclavicular thoracic outlet decompression with external venolysis and frequent use of subclavian vein reconstruction; and (3) temporary postoperative anticoagulation, with or without an adjunctive arteriovenous fistula. Optimal outcomes for venous thoracic outlet syndrome depend on early recognition by treating physicians and prompt referral for comprehensive surgical management.

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Section: Discussionmentioning

confidence: 99%

Comprehensive surgical management of the competitive athlete with effort thrombosis of the subclavian vein (Paget-Schroetter syndrome)

Melby

Vedantham

Narra

et al. 2008

Journal of Vascular Surgery

160

104

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“…Having previously googled the symptoms, he gave us a mini-tutorial on the pathophysiology (hypertrophy of the neck muscles leading to dynamic compression of the axillary vein at the thoracic inlet-leading to thrombosis) and the correct treatment of the syndrome. 2 This experience led us to ask: "How good is Google in helping doctors to reach the correct diagnosis? "…”

Section: Introductionmentioning

confidence: 99%

Googling for a diagnosis—use of Google as a diagnostic aid: internet based study

Tang

2006

BMJ

325

197

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Objective To determine how often searching with Google (the most popular search engine on the world wide web) leads doctors to the correct diagnosis. Design Internet based study using Google to search for diagnoses; researchers were blind to the correct diagnoses. Setting One year's (2005) Main outcome measure Percentage of correct diagnoses from Google searches (compared with the diagnoses as published in the New England Journal of Medicine).Results Google searches revealed the correct diagnosis in 15 (58%, 95% confidence interval 38% to 77%) cases. Conclusion As internet access becomes more readily available in outpatient clinics and hospital wards, the web is rapidly becoming an important clinical tool for doctors. The use of web based searching may help doctors to diagnose difficult cases.

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“…By further narrowing the search strategy to deep vein thrombosis of the arm in athletes, we found 51 publications. We found publications that specifically cited TIS in athletes in only a further 11 cases [3,4,6,9,11,14,18,19,23,26]. There were no randomised controlled trials that covered the whole topic.…”

Section: Resultsmentioning

confidence: 99%

Treatment of venous thoracic inlet syndrome – Specialties in athletes

2019

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Thoracic inlet syndrome (TIS), also known as Paget-Schroetter syndrome, is a relatively rare form of thoracic outlet syndrome. It is considered to be a consequence of compression and repetitive injury of the subclavian vein between the first ribs and the overlying clavicle, the scalenus anterior muscle, subclavius muscle and costoclavicular ligament. While relatively uncommon, this condition is probably the most frequently encountered vascular disorder in the young, healthy, competitive athlete. Although the treatment options to be considered for TIS are similar for all patients, competitive athletes often present special circumstances that need to be taken into account in the decision-making process. With early recognition, proper treatment with early thrombolysis, anticoagulation, surgical decompression and rehabilitation, most athletes can return to previous levels of performance within several months. There were 184 patients treated due to compression syndrome of the upper thoracic outlet between 2013–2016. We will report on the therapy and disease management of 5 professional athletes with TIS. In addition to the report, we are presenting the results of a relevant literature search.

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Paget-von Schrötter Syndrome: Primary Subclavian-axillary Vein Thrombosis in Sport Activities

Cited by 13 publications

References 6 publications

Comprehensive surgical management of the competitive athlete with effort thrombosis of the subclavian vein (Paget-Schroetter syndrome)

Comprehensive surgical management of the competitive athlete with effort thrombosis of the subclavian vein (Paget-Schroetter syndrome)

Googling for a diagnosis—use of Google as a diagnostic aid: internet based study

Treatment of venous thoracic inlet syndrome – Specialties in athletes

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