title: Hybrid management of Paget-Schroetter syndrome due to thoracic outlet syndrome.
abstract: Paget-Schroetter syndrome due to thoracic outlet syndrome is a rare but potentially disabling condition that generally affects young patients otherwise healthy. The prompt diagnosis and treatment of Paget-Schroetter syndrome is necessary to avoid major morbidity and long-term disability. The more modern treatment paradigm reported in the current literature consists of hybrid procedures with surgical decompression of the thoracic outlet and endovascular techniques to potentially improve long-term vein patency. However, there seems to be no consensus in the literature with regard to the timing and precise nature of active management, and there is presently no agreed protocol for the optimum management of Paget-Schroetter syndrome. Controversy exists partly because no randomised controlled studies are present in literature. We present a case of Paget-Schroetter syndrome due to thoracic outlet syndrome in a young male patient submitted to a multimodal procedure.
authors.affiliation: Cardiovascular and Thoracic Department, University of Messina, Messina, Italy. gdecaridi@gmail.com.|, Via Marina Arenile 57/a, 89135, Reggio Calabria, Italy. gdecaridi@gmail.com.
authors.forename: Giovanni
authors.initials: G
authors.lastname: De Caridi
authors.affiliation: Cardiovascular and Thoracic Department, University of Messina, Messina, Italy.
authors.forename: Mafalda
authors.initials: M
authors.lastname: Massara
authors.affiliation: Cardiovascular and Thoracic Department, University of Messina, Messina, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Greco
authors.affiliation: Cardiovascular and Thoracic Department, University of Messina, Messina, Italy.
authors.forename: Simona
authors.initials: S
authors.lastname: Villari
authors.affiliation: Cardiovascular and Thoracic Department, University of Messina, Messina, Italy.
authors.forename: Domenico
authors.initials: D
authors.lastname: Squillaci
authors.affiliation: Cardiovascular and Thoracic Department, University of Messina, Messina, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Spinelli
mesh_terms: D019299:Decompression, Surgical / Q000379:methods*; D006801:Humans; D008297:Male; D010690:Phlebography; D013901:Thoracic Outlet Syndrome / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017131:Thrombectomy / Q000379:methods*; D015912:Thrombolytic Therapy / Q000379:methods*; D056824:Upper Extremity Deep Vein Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D055815:Young Adult
keywords: Hybrid technique; Paget–Schroetter syndrome; Thoracic outlet syndrome