Spontaneous subclavian vein thrombosis: a successful combined approach of local thrombolytic therapy followed by first-rib resection.
In 17% to 74% of patients with subclavian vein thrombosis, conservative treatment or venous thrombectomy led to residual symptoms. To improve these results, a prospective study was started in patients with subclavian vein thrombosis who were treated with a combined approach of local thrombolytic therapy followed by a first-rib resection. From 1983 to 1987 five patients entered the protocol. Total lysis was achieved in all cases. In the follow-up period, phlebography and strain-gauge plethysmography according to Whitney showed no recurrent thrombosis. All patients were able to resume their normal activities.
Rauwerda
J A
JA
Department of Surgery, Free University Hospital, Amsterdam, The Netherlands.
Bakker
F C
FC
van den Broek
T A
TA
Dwars
B J
BJ
D000328:Adult; D002404:Catheterization; D005260:Female; D005500:Follow-Up Studies; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D010991:Plethysmography; D011446:Prospective Studies; D012272:Ribs / Q000601:surgery*; D013300:Streptokinase / Q000008:administration & dosage*; D013350:Subclavian Vein; D013927:Thrombosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy*
D006493:Heparin; D013300:Streptokinase