title: Clinical Usefulness of Hybrid Intervention for the Treatment of Primary Thrombosis of Axillary-subclavian Vein.
abstract: Untreated symptomatic patients with Paget-Schroetter syndrome can suffer chronic disability due to venous obstruction, with arm swelling, pain, and early exercise fatigue. Although systemic or catheter-directed thrombolysis followed by anticoagulation and surgical intervention is recommended, there is no definite consensus about treatment. Here, we report the clinical usefulness of hybrid intervention with a combination of thrombectomy, thrombo-aspiration and balloon PTA, which has not been reported previously for this condition. These procedures were successful, and the patient has been free of symptoms for 6 years.
authors.affiliation: Departments of Radiology, Nippon Medical School, Tokyo, Japan.
authors.forename: Shiro
authors.initials: S
authors.lastname: Onozawa
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tajima
authors.forename: Satoru
authors.initials: S
authors.lastname: Murata
authors.forename: Ken
authors.initials: K
authors.lastname: Nakazawa
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Fukunaga
keywords: Paget-Schroetter syndrome; catheter and catheterization; interventional procedures; thrombectomy
references.citation: Ann R Coll Surg Engl. 2004 Jan;86(1):29-34
references.pmid: 15005942
references.citation: Acta Haematol. 2007;118(1):10-8
references.pmid: 17426392
references.citation: AJR Am J Roentgenol. 2004 Feb;182(2):467-9
references.pmid: 14736683
references.citation: Ann Thorac Surg. 1991 Dec;52(6):1217-21
references.pmid: 1755673
references.citation: Med Princ Pract. 2006;15(4):299-302
references.pmid: 16763398
references.citation: Thromb Res. 2002 Dec 15;108(5-6):279-85
references.pmid: 12676186
references.citation: Eur Radiol. 2002 Jan;12(1):205-17
references.pmid: 11868100
references.citation: J Am Coll Cardiol. 2000 Aug;36(2):375-80
references.pmid: 10933345