Intraoperative venous balloon angioplasty during surgical thoracic outlet decompression in Paget-Schrötter syndrome.
The management of primary subclavian-axillary vein thrombosis is controversial. Indications and time of operative or endovascular intervention after successful thrombolysis remain unresolved. To improve the long-term functional outcomes in patients with primary subclavian-axillary vein thrombosis, early reestablishment of venous patency and prevention of recurrent thrombosis are required. We present a case in which, after catheter-directed thrombolysis, positional venography showed costoclavicular compression of the subclavian vein. At the time of surgical thoracic outlet decompression, transluminal venous angioplasty was performed.
Cancer
Susana
S
Unidad de Cirugía Vascular, Fundación Hospital Alcorcón, Madrid, Spain. scancer@fhalcorcon.es
Luján
Salvador
S
Puras
Enrique
E
D000328:Adult; D000800:Angioplasty, Balloon / Q000379:methods*; D001367:Axillary Vein / Q000000981:diagnostic imaging; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D008297:Male; D011859:Radiography; D013350:Subclavian Vein / Q000000981:diagnostic imaging; D013901:Thoracic Outlet Syndrome / Q000601:surgery*; D015912:Thrombolytic Therapy; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*