Primary subclavian—axillary vein thrombosis: consensus and commentary

Rutherford, Robert B.; Hurlbert, Scott N.

doi:10.1016/0967-2109(96)00007-5

Cited by 48 publications

(33 citation statements)

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“…There is consensus among vascular surgeons that early diagnosis followed by intervention provides the most favorable results [39, 40]. Opinions differ, however, in terms of the best fibrinolytic agent used (i.e.…”

Section: Treatment and Complicationsmentioning

confidence: 99%

Exercise-Induced Deep Vein Thrombosis of the Upper Extremity

Brandão¹,

Williams²,

Kahr³

et al. 2006

Acta Haematol

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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.

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Section: Treatment and Complicationsmentioning

confidence: 99%

Exercise-Induced Deep Vein Thrombosis of the Upper Extremity

Brandão¹,

Williams²,

Kahr³

et al. 2006

Acta Haematol

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“…It appears more often in the right arm, probably because this is the usual dominant limb and hence is involved most frequently in strenuous activity. 6 The heavy exertion causes microtrauma to the vessel intima and leads to activation of the coagulation cascade. Significant thrombosis may occur with repeated insults to the vein wall, especially if mechanical compression of the vessel is also present.…”

Section: Diagnosis Left Subclavian Vein Thrombosismentioning

confidence: 99%

Clinical Pearls: Left Arm Swelling

2004

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“…They suggested that there was a relationship to repeated severe effort of the involved extremity, and thus the condition has been named spontaneous or effort vein thrombosis. Most cases can be related to strenuous arm activity or holding the arm for a prolonged period in a set position [51]. In many cases, an anatomic abnormality, such as a cervical rib or costoclavicular compression syndrome, is observed.…”

Section: Acute Venous Occlusion Of the Upper Extremitymentioning

confidence: 99%