title: Paget-Schroetter syndrome treated with cutting-balloon angioplasty.
abstract: Here, a case of Paget-Schroetter Syndrome in a 25-year-old guitar player is reported. After thrombolysis, conventional angioplasty failed to dilate the underlying subclavian stenosis both before and after first-rib excision with scalenus anterior and medius division. For the third attempt at angioplasty, a cutting balloon was used, which immediately produced a good result. Venography at 4-year follow-up showed no restenosis and no functional deficit. This case report demonstrates that cutting-balloon angioplasty may be considered when conventional balloon fails and may have greater durability than conventional balloon angioplasty in the treatment of Paget-Schroetter syndrome.
authors.affiliation: Department of Interventional Radiology, City General Hospital, University Hospital of North Staffordshire NHS Trust, Newcastle Road, Stoke-On-Trent, ST4 6QG, UK.
authors.forename: J
authors.initials: J
authors.lastname: Gosling
authors.forename: M
authors.initials: M
authors.lastname: Nayeemuddin
authors.forename: M
authors.initials: M
authors.lastname: Cowling
authors.forename: A
authors.initials: A
authors.lastname: Pherwani
authors.forename: J
authors.initials: J
authors.lastname: Asquith
mesh_terms: D000328:Adult; D000792:Angiography; D000800:Angioplasty, Balloon / Q000379:methods*; D001367:Axillary Vein; D006801:Humans; D008297:Male; D013350:Subclavian Vein; D056824:Upper Extremity Deep Vein Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*