scholarly journals False-Negative Upper Extremity Ultrasound in the Initial Evaluation of Patients With Suspected Subclavian Vein Thrombosis due to Thoracic Outlet Syndrome (Paget-Schroetter Syndrome)

2019 ◽  
Vol 70 (3) ◽  
pp. e61-e62
Author(s):  
Evan R. Brownie ◽  
Ahmmad A. Abuirqeba ◽  
J. Westley Ohman ◽  
Brian G. Rubin ◽  
Robert W. Thompson
2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Hadoun Jabri ◽  
Sarbajit Mukherjee ◽  
Devang Sanghavi ◽  
Shyam Chalise

Recurrent deep venous thrombosis, involving bilateral upper extremities, is an extremely rare phenomenon. We are presenting a 43-year-old man who was diagnosed with left upper extremity deep vein thrombosis (UEDVT) and was treated with anticoagulation and surgical decompression in 2004. 9 years later, he presented with right arm swelling and was diagnosed with right UEDVT using US venous Doppler. Venogram showed compression of the subclavian vein by the first rib, diagnosing thoracic outlet syndrome (TOS). He was treated with anticoagulation and local venolysis and later by surgical decompression of the subclavian vein. Bilateral UEDVT, as mentioned above, is an extremely rare condition that is uncommonly caused by TOS. To our knowledge, we are reporting the first case of bilateral UEDVT due to TOS. Diagnosis usually starts with US venous Doppler to detect the thrombosis, followed by the gold standard venogram to locate the area of obstruction and lyse the thrombus if needed. The ultimate treatment for TOS remains surgical decompression of the vascular bundle at the thoracic outlet.


2003 ◽  
Vol 10 (2) ◽  
pp. 336-340 ◽  
Author(s):  
Darren B. Schneider ◽  
Thomas K. Curry ◽  
Charles M. Eichler ◽  
Louis M. Messina ◽  
Roy L. Gordon ◽  
...  

Purpose: To describe the successful use of percutaneous mechanical thrombectomy as an adjunct to thrombolysis for acute subclavian vein thrombosis due to venous thoracic outlet syndrome Case Report: A 40-year-old man presented with arm swelling due to acute subclavian vein thrombosis and venous thoracic outlet syndrome. Percutaneous mechanical thrombectomy with the AngioJet device and thrombolysis were used to restore venous patency. Immediately following operative thoracic outlet decompression, the patient experienced rethrombosis, which was successfully treated using percutaneous mechanical thrombectomy. After 6 months, the patient remains symptom-free, with a patent subclavian vein by duplex ultrasonography. Conclusions: Thrombus debulking or removal with percutaneous mechanical thrombectomy devices may reduce the amount or duration of thrombolytic therapy required, making treatment of venous thoracic outlet syndrome safer. Moreover, patients with recurrent thrombosis after thoracic outlet decompression may be safely treated with percutaneous mechanical thrombectomy, even when thrombolytic therapy is contraindicated.


2005 ◽  
Vol 31 (2) ◽  
pp. 160-163 ◽  
Author(s):  
Cristiana Fiorentini ◽  
Stefano Mattioli ◽  
Francesca Graziosi ◽  
Roberta Bonfiglioli ◽  
Thomas J Armstrong ◽  
...  

1984 ◽  
Vol 7 (2) ◽  
pp. 90-93 ◽  
Author(s):  
Elliott I. Fankuchen ◽  
Richard A. Neff ◽  
Robert A. Collins ◽  
George J. Todd ◽  
Eric C. Martin

1984 ◽  
Vol 9 (7) ◽  
pp. 397-399 ◽  
Author(s):  
ALAN H. MAURER ◽  
FRANCIS C. AU ◽  
LEON S. MALMUD ◽  
R ROBERT HARWICK

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