[Axillo-subclavian effort thrombosis: main characteristics].
OBJECTIVE
Effort related thrombosis of the axillo-subclavian vein is a disabling disorder that occurs primarily in healthy young individuals. The aim of this study is to show our experience in diagnosis and therapy of this entity.


METHODS
During a 5 years period (1994 to 1998) we studied 7 patients (6 woman and 1 man), with an average age of 26 years old. All patients underwent Doppler ultrasound examinations and, later, venography of the affected upper extremity. All of them were treated at the outset with systemic infusion of fibrinolytic agents.


RESULTS
Only one patient manifested successfully clinic outcome. Five patients were treated with surgical decompression resulting in excellent function. One patient refused surgical treatment, and he was treated with warfarin sodium showing a poor clinic response.


CONCLUSIONS
Although systemic fibrinolytic therapy can restore axillo-subclavian vein patency, surgical approach is necessary to relieve the external compression.
Gil Romero
J
J
Servicio de Radiodiagnóstico, Hospital Clínico Universitario, Valencia.
Ferrer Puchol
M D
MD
Blanquer Olivas
J
J
Esteban Hernández
J
J
García Fuster
M J
MJ
Guijarro Rosaleny
J
J
D000293:Adolescent; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001132:Arm / Q000098:blood supply; D001367:Axillary Vein / Q000000981:diagnostic imaging; D019299:Decompression, Surgical; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D009790:Occupations; D010690:Phlebography; D013177:Sports; D013350:Subclavian Vein / Q000000981:diagnostic imaging; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D014859:Warfarin / Q000008:administration & dosage
D000925:Anticoagulants; D005343:Fibrinolytic Agents; D014859:Warfarin