title: Multidisciplinary management of Paget-Schroetter syndrome. A case series of eight patients.
abstract: Paget-Schroetter syndrome (PSS) in the context of upper extremity deep venous thrombosis (DVT) is an uncommon but potentially very serious condition affecting young, healthy adults, in which secondary post-thrombotic syndrome (PTS) can be a complication with major implications. The best treatment option remains controversial, with current guidelines recommending anticoagulation for at least 3 months. However, an incidence of PTS of approximately 50% after 6 months, 30% after 1 year and 25% after 2 years has been found using this therapeutic approach. Consequently, specialized units recommend local thrombolysis and early decompressive surgery. We describe a series of eight cases treated in this way. None of the patients showed signs of complications, and an early return to regular activities with no PTS was observed in 90% of cases.
authors.affiliation: Unidad de Corta Estancia/Trombosis, Servicio de Medicina Interna, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España. Electronic address: Vladi_medico@yahoo.es.
authors.forename: Vladimir
authors.initials: V
authors.lastname: Rosa Salazar
authors.affiliation: Servicio de Medicina Interna, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: Sonia Del Pilar
authors.initials: Sdel P
authors.lastname: Otálora Valderrama
authors.affiliation: Unidad de Corta Estancia/Trombosis, Servicio de Medicina Interna, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: María Encarnación
authors.initials: ME
authors.lastname: Hernández Contreras
authors.affiliation: Unidad de Corta Estancia/Trombosis, Servicio de Medicina Interna, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: Bartolomé
authors.initials: B
authors.lastname: García Pérez
authors.affiliation: Servicio de Cirugía Torácica, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: Andrés Del Amor
authors.initials: Adel A
authors.lastname: Arroyo Tristán
authors.affiliation: Unidad de Corta Estancia/Trombosis, Servicio de Medicina Interna, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: María Del Mar
authors.initials: Mdel M
authors.lastname: García Méndez
mesh_terms: D000293:Adolescent; D000328:Adult; D000925:Anticoagulants / Q000008:administration & dosage / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D012090:Cumulative Trauma Disorders / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D019299:Decompression, Surgical; D019468:Disease Management; D018572:Disease-Free Survival; D057510:Endovascular Procedures; D005260:Female; D006495:Heparin, Low-Molecular-Weight / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D009334:Neck Muscles / Q000601:surgery; D009784:Occupational Diseases / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D010348:Patient Care Team; D054070:Postthrombotic Syndrome / Q000517:prevention & control*; D011446:Prospective Studies; D012008:Recurrence; D012272:Ribs / Q000601:surgery; D015912:Thrombolytic Therapy; D056824:Upper Extremity Deep Vein Thrombosis / Q000188:drug therapy / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D014891:Weight Lifting; D055815:Young Adult
chemical_list: D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight
keywords: Effort thrombosis; Paget-Schroetter syndrome; Síndrome de Paget-Schroetter; Síndrome de la salida del tórax; Thoracic outlet syndrome; Trombosis de esfuerzo; Trombosis venosa profunda de extremidad superior; Upper extremity deep vein thrombosis