Primary Subclavian-Axillary Vein Thrombosis

Hurlbert, Scott N.; Rutherford, Robert B.

doi:10.1007/bf02139667

Cited by 36 publications

(16 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Paget-Schroetter syndrome or effort-related UEDVT is often referred to as spontaneous due to its unexpected presentation in healthy, generally young (early 30s) individuals [28]. The literature reports a 2:1 predilection of males over females, with 75% of patients reporting an antecedent event of strenuous or repetitive activity before the presentation.…”

Section: Clinical Presentationmentioning

confidence: 99%

Exercise-Induced Deep Vein Thrombosis of the Upper Extremity

Brandão¹,

Williams²,

Kahr³

et al. 2006

Acta Haematol

View full text Add to dashboard Cite

Paget-Schroetter syndrome or effort-related upper extremity deep vein thrombosis is a rare condition that usually afflicts young healthy individuals, most commonly males. The cause is multifactorial but almost always involves extrinsic compression of the subclavian vein at the thoracic inlet, causing venous stenosis from repetitive trauma. The diagnosis of this condition may be difficult, and its delay may contribute to potential complications including thrombosis progression, pulmonary embolism, thrombosis recurrence, and post-thrombotic syndrome. Similarly, the best therapeutic option has not been established and in the lack of evidence-based guidelines, treatment may be extremely challenging especially in children, in whom long-term complications can be particularly disabling.

show abstract

Section: Clinical Presentationmentioning

confidence: 99%

Exercise-Induced Deep Vein Thrombosis of the Upper Extremity

Brandão¹,

Williams²,

Kahr³

et al. 2006

Acta Haematol

View full text Add to dashboard Cite

show abstract

“…Only a small fraction of these would be due to physical exertion suggesting effort thrombosis [Lindblad et al, 1988;Zell et al, 2001]. There tends to be a male predominance [Hurlbut and Rutherford, 1995;Melby et al, 2008], which indicates the importance of secondary factors as men traditionally perform manual labor to a greater extent than women. This male predominance does not seem to be present in athletes.…”

Section: Introductionmentioning

confidence: 95%

“…Reports suggest that axillosubclavian vein thrombosis represents approximately 3% of all cases of deep venous thrombosis [Hurlbut and Rutherford, 1995]. The majority of these would be due to secondary causes, including malignancy, indwelling venous catheters, or hypercoagulability.…”

Section: Introductionmentioning

confidence: 99%

“…The presence of a cervical rib, more lateral insertion of the costoclavicular ligament or other anatomic variants may predispose individuals to this condition. Repetitive, forceful upper extremity activities lead to hypertrophy of the anterior scalenus muscle or biomechanical impingement at the thoracic outlet, leading to further compression of the vein with subsequent thrombosis [Hurlbut and Rutherford, 1995;Feugier and Chevalier, 2005;Urschel, 2007].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Work‐related effort thrombosis in a millwright: A case report

Pysklywec

Cinà

2010

American J Industrial Med

View full text Add to dashboard Cite

show abstract

“…Estima-se que as tromboses venosas profundas de membros superiores (TVPMS) sejam responsáveis por 1 a 4 % de todas as tromboses venosas profundas 1,2 . Embora as TVPMS sejam realmente menos freqüentes que as de membros inferiores, suas complicações embó-licas não são menos graves 3,4 .…”

unclassified

Trombose venosa profunda de membros superiores: estudo coorte retrospectivo de 52 casos

et al. 2005

View full text Add to dashboard Cite

275 ResumoObjetivo: Rever os fatores predisponentes e a evolução em série de casos de trombose venosa profunda dos membros superiores de nossa instituição.Métodos: Cinqüenta e dois pacientes consecutivos, com trombose venosa profunda dos membros superiores (29 homens e 23 mulheres), idade média de 52,3 anos, documentados por mapeamento dúplex (71,1%), flebografia (11,1%) ou clinicamente (15,6%), foram incluídos no presente estudo.Resultados: As manifestações clínicas foram: dor no antebraço (24 casos -46,1%), dor no braço (27 casos -51,9%), edema do membro superior (45 casos -86,5%), dor à compressão do membro superior (36 casos -70,2%) e dor à movimentação do mesmo (32 casos -61,7%). Os principais fatores de risco foram: punção ou acesso venoso (20 casos -39,1%) e câncer (16 casos -32,6%). As veias envolvidas foram: umeral (n = 18), axilar (n = 27), subclávia (n = 15) e jugular (n = 11). A embolia pulmonar estava inicialmente presente em quatro casos (7,6%). O tratamento inicial foi feito com heparina não-fracionada intravenosa (64,3%), subcutânea (16,7%), ou heparina de baixo peso molecular (17,1%), seguido de varfarina. Doze pacientes morreram antes da alta, em função de causas não relacionadas à embolia pulmonar. Foram acompanhados os 40 pacientes restantes por período de 3 meses a 10 anos, sendo que dois morreram de causas não relacionadas à embolia pulmonar, um paciente desenvolveu seqüelas pós-trombóticas, como edema residual e limitações aos movimentos, e seis ficaram com discretos sintomas residuais (edema e dor).Conclusões: A trombose venosa profunda dos membros superiores foi mais freqüente em pacientes submetidos a acessos venosos e com neoplasia em atividade. Comparando com dados da literatura, a evolução dos pacientes sob tratamento exclusivo com anticoagulantes foi, no mínimo, similar a outros tratamentos propostos.Palavras-chave: trombose, trombose venosa, extremidade superior, anticoagulantes. AbstractObjective: To review the predisposing factors and the evolution of upper-extremity deep vein thrombosis in a series of cases.Methods: Fifty-two consecutive patients (29 men and 23 women, mean age of 52.3 years) with upper-extremity deep vein thrombosis documented by duplex scan (71.1%), phlebography (11.1%) or clinically (15.6%) were included in the study.Results: Clinical manifestations were: forearm pain (24 cases -46.1%), arm pain (27 cases -51.9%), upper limb edema (45 cases -86.5%), pain to arm compression (36 cases -70.2%) and to arm movement (32 cases -61.7%). Main risk factors were: vein puncture (20 cases -39.1%), and cancer (16 cases -32.6%). Deep vein thrombosis involved humeral (n = 18), axillary (n = 27), subclavian (n = 15) and jugular (n = 11) veins. Pulmonary embolism was initially present in four cases (7.6%). Initial therapy included unfractionated heparin, intravenous (64.3%), subcutaneous (16.7%) or low molecular weight heparin (17.1%) administration, followed by warfarin. Twelve patients died before discharge from the hospital, due to causes not related to pulmonary embolism. T...

show abstract

Primary Subclavian-Axillary Vein Thrombosis

Cited by 36 publications

References 34 publications

Exercise-Induced Deep Vein Thrombosis of the Upper Extremity

Exercise-Induced Deep Vein Thrombosis of the Upper Extremity

Work‐related effort thrombosis in a millwright: A case report

Trombose venosa profunda de membros superiores: estudo coorte retrospectivo de 52 casos

Contact Info

Product

Resources

About