title: Multiple pulmonary emboli with pulmonary hypertension caused by effort thrombosis and effective balloon venoplasty of the subclavian vein.
abstract: A 36-year-old woman with effort thrombosis of the subclavian vein associated with multiple pulmonary emboli was successfully treated with local thrombolysis of the subclavian vein using a pulse-spray catheter and systemic anticoagulation. Balloon venoplasty of the residual stenosis of subclavian vein was carried out and in follow-up venography 6 months later, there was no restenosis, and the patient has been asymptomatic for 12 months. Pulmonary embolism is not a rare complication of upper extremity deep vein thrombosis and should be managed as aggressively as lower extremity deep vein thrombosis.
authors.affiliation: First Department of Internal Medicine, Mie University School of Medicine, Japan. isaka@clin.medic.mie-u.ac.jp
authors.forename: N
authors.initials: N
authors.lastname: Isaka
authors.forename: N
authors.initials: N
authors.lastname: Yamada
authors.forename: S
authors.initials: S
authors.lastname: Araki
authors.forename: K
authors.initials: K
authors.lastname: Onishi
authors.forename: M
authors.initials: M
authors.lastname: Motoyasu
authors.forename: T
authors.initials: T
authors.lastname: Okinaka
authors.forename: M
authors.initials: M
authors.lastname: Ito
authors.forename: T
authors.initials: T
authors.lastname: Nakano
mesh_terms: D000328:Adult; D000800:Angioplasty, Balloon; D000925:Anticoagulants / Q000008:administration & dosage; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology*; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000209:etiology*; D011666:Pulmonary Valve Stenosis; D013350:Subclavian Vein / Q000473:pathology; D015912:Thrombolytic Therapy; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage; D020246:Venous Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*
chemical_list: D000925:Anticoagulants; D014568:Urokinase-Type Plasminogen Activator