Claviculectomy With Thrombectomy for Management of Paget-Schroetter Syndrome in a Patient With Chronic Clavicular Malunion
Paget-Schroetter syndrome, or primary upper extremity deep vein thrombosis, is a relatively rare condition for which various treatment protocols have been proposed. No randomized controlled trials exist to guide management, and treatment must be tailored to the individual. This report describes a ca...
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| Veröffentlicht in: | Annals of vascular surgery 2013-05, Vol.27 (4), p.498.e1-498.e4 |
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| container_end_page | 498.e4 |
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| container_issue | 4 |
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| container_title | Annals of vascular surgery |
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| creator | Coughlin, Lisa M Koenig, Kelly N Clark, Paul M |
| description | Paget-Schroetter syndrome, or primary upper extremity deep vein thrombosis, is a relatively rare condition for which various treatment protocols have been proposed. No randomized controlled trials exist to guide management, and treatment must be tailored to the individual. This report describes a case of a 39-year-old man with chronic clavicular malunion from multiple clavicular fractures who presented with Paget-Schroetter syndrome. The thrombus occluded the right axillary, brachial, and subclavian veins. Attempted thrombolytic therapy was unsuccessful, and decompressive surgery was used to avoid postphlebitic complications and regain functionality of the upper extremity. Rather than first rib resection, claviculectomy with thrombectomy and subclavian vein repair was performed. |
| doi_str_mv | 10.1016/j.avsg.2012.09.008 |
| format | Article |
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No randomized controlled trials exist to guide management, and treatment must be tailored to the individual. This report describes a case of a 39-year-old man with chronic clavicular malunion from multiple clavicular fractures who presented with Paget-Schroetter syndrome. The thrombus occluded the right axillary, brachial, and subclavian veins. Attempted thrombolytic therapy was unsuccessful, and decompressive surgery was used to avoid postphlebitic complications and regain functionality of the upper extremity. Rather than first rib resection, claviculectomy with thrombectomy and subclavian vein repair was performed.</description><identifier>ISSN: 0890-5096</identifier><identifier>EISSN: 1615-5947</identifier><identifier>DOI: 10.1016/j.avsg.2012.09.008</identifier><identifier>PMID: 23562149</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adult ; Chronic Disease ; Clavicle - injuries ; Clavicle - surgery ; Fractures, Malunited - complications ; Fractures, Malunited - diagnostic imaging ; Fractures, Malunited - surgery ; Humans ; Male ; Orthopedic Procedures - methods ; Subclavian Vein - surgery ; Surgery ; Syndrome ; Thrombectomy - methods ; Tomography, X-Ray Computed ; Upper Extremity Deep Vein Thrombosis - diagnostic imaging ; Upper Extremity Deep Vein Thrombosis - etiology ; Upper Extremity Deep Vein Thrombosis - surgery</subject><ispartof>Annals of vascular surgery, 2013-05, Vol.27 (4), p.498.e1-498.e4</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>Copyright © 2013 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-64131155bfbbd1b7237adfd9f4d2a58f07c6cbb74679834465e99467e217fc053</citedby><cites>FETCH-LOGICAL-c326t-64131155bfbbd1b7237adfd9f4d2a58f07c6cbb74679834465e99467e217fc053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0890509613000617$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23562149$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coughlin, Lisa M</creatorcontrib><creatorcontrib>Koenig, Kelly N</creatorcontrib><creatorcontrib>Clark, Paul M</creatorcontrib><title>Claviculectomy With Thrombectomy for Management of Paget-Schroetter Syndrome in a Patient With Chronic Clavicular Malunion</title><title>Annals of vascular surgery</title><addtitle>Ann Vasc Surg</addtitle><description>Paget-Schroetter syndrome, or primary upper extremity deep vein thrombosis, is a relatively rare condition for which various treatment protocols have been proposed. No randomized controlled trials exist to guide management, and treatment must be tailored to the individual. This report describes a case of a 39-year-old man with chronic clavicular malunion from multiple clavicular fractures who presented with Paget-Schroetter syndrome. The thrombus occluded the right axillary, brachial, and subclavian veins. Attempted thrombolytic therapy was unsuccessful, and decompressive surgery was used to avoid postphlebitic complications and regain functionality of the upper extremity. Rather than first rib resection, claviculectomy with thrombectomy and subclavian vein repair was performed.</description><subject>Adult</subject><subject>Chronic Disease</subject><subject>Clavicle - injuries</subject><subject>Clavicle - surgery</subject><subject>Fractures, Malunited - complications</subject><subject>Fractures, Malunited - diagnostic imaging</subject><subject>Fractures, Malunited - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Orthopedic Procedures - methods</subject><subject>Subclavian Vein - surgery</subject><subject>Surgery</subject><subject>Syndrome</subject><subject>Thrombectomy - methods</subject><subject>Tomography, X-Ray Computed</subject><subject>Upper Extremity Deep Vein Thrombosis - diagnostic imaging</subject><subject>Upper Extremity Deep Vein Thrombosis - etiology</subject><subject>Upper Extremity Deep Vein Thrombosis - surgery</subject><issn>0890-5096</issn><issn>1615-5947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2L1DAch4Mo7rj6BTxIjl5a89IkDYggg2-wojArHkOa_rubsW3WJB0YP72pM-vBg6e8Pb9fyBOEnlNSU0Llq31tD-mmZoSymuiakPYB2lBJRSV0ox6iDWk1qQTR8gI9SWlPCtg27WN0wbiQjDZ6g35tR3vwbhnB5TAd8Xefb_H1bQxTd94ZQsSf7WxvYII54zDgr2Weq50rFOQMEe-Oc18SgP2MbTnOfiX_VG0LNHuH76-xa9m4zD7MT9GjwY4Jnp3HS_Tt_bvr7cfq6suHT9u3V5XjTOZKNpRTKkQ3dF1PO8W4sv3Q66HpmRXtQJSTrutUI5VuedNIAVqXBTCqBkcEv0QvT713MfxcIGUz-eRgHO0MYUmG8pJRSrRNQdkJdTGkFGEwd9FPNh4NJWZ1bvZmdW5W54ZoU5yX0Itz_9JN0P-N3EsuwOsTAOWVBw_RJFcMOeh9LJJNH_z_-9_8E3ejL07t-AOOkPZhiXPxZ6hJJWN266-vn045IURSxX8D3y6o6g</recordid><startdate>201305</startdate><enddate>201305</enddate><creator>Coughlin, Lisa M</creator><creator>Koenig, Kelly N</creator><creator>Clark, Paul M</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201305</creationdate><title>Claviculectomy With Thrombectomy for Management of Paget-Schroetter Syndrome in a Patient With Chronic Clavicular Malunion</title><author>Coughlin, Lisa M ; Koenig, Kelly N ; Clark, Paul M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-64131155bfbbd1b7237adfd9f4d2a58f07c6cbb74679834465e99467e217fc053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Chronic Disease</topic><topic>Clavicle - injuries</topic><topic>Clavicle - surgery</topic><topic>Fractures, Malunited - complications</topic><topic>Fractures, Malunited - diagnostic imaging</topic><topic>Fractures, Malunited - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Orthopedic Procedures - methods</topic><topic>Subclavian Vein - surgery</topic><topic>Surgery</topic><topic>Syndrome</topic><topic>Thrombectomy - methods</topic><topic>Tomography, X-Ray Computed</topic><topic>Upper Extremity Deep Vein Thrombosis - diagnostic imaging</topic><topic>Upper Extremity Deep Vein Thrombosis - etiology</topic><topic>Upper Extremity Deep Vein Thrombosis - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Coughlin, Lisa M</creatorcontrib><creatorcontrib>Koenig, Kelly N</creatorcontrib><creatorcontrib>Clark, Paul M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coughlin, Lisa M</au><au>Koenig, Kelly N</au><au>Clark, Paul M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Claviculectomy With Thrombectomy for Management of Paget-Schroetter Syndrome in a Patient With Chronic Clavicular Malunion</atitle><jtitle>Annals of vascular surgery</jtitle><addtitle>Ann Vasc Surg</addtitle><date>2013-05</date><risdate>2013</risdate><volume>27</volume><issue>4</issue><spage>498.e1</spage><epage>498.e4</epage><pages>498.e1-498.e4</pages><issn>0890-5096</issn><eissn>1615-5947</eissn><abstract>Paget-Schroetter syndrome, or primary upper extremity deep vein thrombosis, is a relatively rare condition for which various treatment protocols have been proposed. No randomized controlled trials exist to guide management, and treatment must be tailored to the individual. This report describes a case of a 39-year-old man with chronic clavicular malunion from multiple clavicular fractures who presented with Paget-Schroetter syndrome. The thrombus occluded the right axillary, brachial, and subclavian veins. Attempted thrombolytic therapy was unsuccessful, and decompressive surgery was used to avoid postphlebitic complications and regain functionality of the upper extremity. Rather than first rib resection, claviculectomy with thrombectomy and subclavian vein repair was performed.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>23562149</pmid><doi>10.1016/j.avsg.2012.09.008</doi></addata></record> |
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| ispartof | Annals of vascular surgery, 2013-05, Vol.27 (4), p.498.e1-498.e4 |
| issn | 0890-5096 1615-5947 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Chronic Disease Clavicle - injuries Clavicle - surgery Fractures, Malunited - complications Fractures, Malunited - diagnostic imaging Fractures, Malunited - surgery Humans Male Orthopedic Procedures - methods Subclavian Vein - surgery Surgery Syndrome Thrombectomy - methods Tomography, X-Ray Computed Upper Extremity Deep Vein Thrombosis - diagnostic imaging Upper Extremity Deep Vein Thrombosis - etiology Upper Extremity Deep Vein Thrombosis - surgery |
| title | Claviculectomy With Thrombectomy for Management of Paget-Schroetter Syndrome in a Patient With Chronic Clavicular Malunion |
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