2,031 results match your criteria Subclavian Vein Thrombosis


Effort Thrombosis Provoked by Saxophone Performance.

J Emerg Med 2019 Jan 8. Epub 2019 Jan 8.

Temple University Hospital, Philadelphia, Pennsylvania.

Background: Internal jugular venous thrombosis (IJVT) is an uncommon condition rarely diagnosed in the outpatient setting. IJVT carries significant morbidity and mortality and must be considered in the differential diagnosis for new-onset neck pain and swelling, especially in the emergency setting. Paget-Schroetter syndrome (PSS), or primary thrombosis secondary to effort, is an uncommon, likely under-recognized etiology of thrombosis. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.12.003DOI Listing
January 2019

Upper Limb Deep Vein Thrombosis: A Case Report of an Increasingly Common Condition.

J Tehran Heart Cent 2018 Apr;13(2):73-75

Cardiology Department, East Surrey Hospital, Redhill, UK.

Upper limb deep vein thrombosis (DVT) is a less common phenomenon than lower limb DVT. Repeated trauma secondary to sport- or job-related arm movements and positions has been recognized as the predisposing factor for upper limb DVT. We describe a 38-year-old male computer programmer admitted with swelling and pain in his left upper limb. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6246438PMC
April 2018
10 Reads

Surgical and endovascular central venous reconstruction combined with thoracic outlet decompression in highly symptomatic patients.

J Vasc Surg Venous Lymphat Disord 2019 Jan 12;7(1):106-112.e3. Epub 2018 Nov 12.

Division of Vascular and Endovascular Surgery, USF Health Morsani College of Medicine, Tampa, Fla.

Background: Subclavian vein stenosis or occlusion at the thoracic outlet is a problem associated with certain anatomic and environmental stresses (venous thoracic outlet syndrome [VTOS]), the presence of central venous catheters, and the high flows associated with arteriovenous (AV) access in the limb. We describe our experience with open and endovascular techniques for restoring patency in highly symptomatic patients.

Methods: A prospectively collected database of patients was queried for patients treated for central venous obstructive disease in the setting of highly symptomatic VTOS and ipsilateral AV access from October 2011 to August 2016. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.07.019DOI Listing
January 2019
10 Reads

Endovascular Therapy for Central Venous Thrombosis.

Methodist Debakey Cardiovasc J 2018 Jul-Sep;14(3):214-218

GUY'S AND ST THOMAS' NHS TRUST, LONDON, ENGLAND.

Central vein thrombosis is defined as thrombosis of the major vessels draining either the upper or lower extremities. It presents most commonly in the upper limb, where it affects the subclavian veins and the superior vena cava; in the lower limb, it affects the common iliac veins and the inferior vena cava. These different anatomical segments pose unique challenges in both acute and chronic settings, and this article will summarize the current best practice treatment options. Read More

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http://dx.doi.org/10.14797/mdcj-14-3-214DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6217556PMC
November 2018
6 Reads

Evidence of Subclavian Vein Thrombosis on First-Pass FDG PET in a Patient with Relapsing Upper Mediastinum Lymphoma.

Nucl Med Mol Imaging 2018 Oct 20;52(5):398-400. Epub 2018 Aug 20.

1Nuclear Medicine Department, Montpellier University Hospital, Montpellier, France.

Baseline F-FDG PET was performed in a 74-year-old patient with relapsing upper mediastinum lymphoma. Left subclavian thrombosis was suspected on prior contrast-enhanced CT. Dynamic PET imaging was achieved during 3 min after IV injection of F-FDG to the left arm in order to further assess left subclavian vein permeability. Read More

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http://dx.doi.org/10.1007/s13139-018-0541-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177353PMC
October 2018
1 Read

Subclavian vein thrombosis with internal jugular vein extension in an Australian rules football player.

Med J Aust 2018 Oct;209(8):335-336

Northeast Health Wangaratta, Wangaratta, VIC.

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October 2018
2 Reads
4.090 Impact Factor

[Síndrome de Paget-Schrötter: presentación de cuatro casos].

Medicina (B Aires) 2018 ;78(5):372-375

Servicio de Clínica Médica, Hospital Británico de Buenos Aires, Argentina. E-mail:

Deep vein thrombosis (DVT) of the upper limb is a rare entity, estimated to account for 10% of all cases of DVT. Classically, they are classified into primary (idiopathic, due to subclavian vein compression or exercise related) and secondary (cancer, thrombophilia, trauma, shoulder surgery, associated to venous catheters or due to hormonal causes). The Paget- Schrötter syndrome is a primary thrombosis of the subclavian vein in the subclavian-axillary junction, related either to repetitive movements or to exercise; leading to microtrauma in the endothelium with consequent activation of the coagulation cascade. Read More

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January 2018
6 Reads

Left subclavian and right femoral vein thrombosis in a pregnant patient with antithrombin deficiency.

J Cardiol Cases 2018 Oct 23;18(4):149-151. Epub 2018 Jul 23.

Department of Emergency Medicine, Hiroshima Citizens Hospital, Hiroshima, Japan.

Pregnancy is well-known risk factor for deep vein thrombosis (DVT), which usually occurs during the third trimester and in the left-sided lower extremity. We present a case of left subclavian and right femoral vein thrombosis in a pregnant woman with a gestational age of 10 weeks. A 39-year-old woman visited the emergency department complaining of acute pain and swelling of the left upper arm and right lower extremity. Read More

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http://dx.doi.org/10.1016/j.jccase.2018.06.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149647PMC
October 2018
1 Read

Superior vena cava syndrome complicated with acute pulmonary thromboembolism in a patient with lung cancer.

J Cardiol Cases 2018 Jan 1;17(1):9-11. Epub 2017 Sep 1.

Division of Cardiovascular Medicine, Department of Internal Medicine, Wanfang Hospital Taipei Medical University, Taipei, Taiwan.

Thrombosis involving the subclavian vein and superior vena cava is relatively common, especially in cancer patients. Edema of the arms and head is a well-known clinical consequence of this thrombosis. The intrinsic risk of pulmonary embolism has not been reported previously. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18785409173008
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http://dx.doi.org/10.1016/j.jccase.2017.08.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149638PMC
January 2018
2 Reads

Anatomic Site-Specific Complication Rates for Central Venous Catheter Insertions.

J Intensive Care Med 2018 Sep 19:885066618795126. Epub 2018 Sep 19.

4 Department of General Surgery, Medstar Georgetown University Hospital, Washington, DC, USA.

Background: Central venous catheter (CVC) complication rates reflecting the application of modern insertion techniques to a clinically heterogeneous patient populations are needed to better understand procedural risk attributable to the 3 common anatomic insertion sites: internal jugular, subclavian, and femoral veins. We sought to define site-specific mechanical and duration-associated CVC complication rates across all hospital inpatients.

Methods: A retrospective chart review was conducted over 9 months at Georgetown University Hospital and Washington Hospital Center. Read More

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http://dx.doi.org/10.1177/0885066618795126DOI Listing
September 2018
2 Reads

Clinical Course and Complications of Catheter and Non-Catheter-Related Upper Extremity Deep Vein Thrombosis in Patients with Cancer.

Clin Appl Thromb Hemost 2018 Nov 19;24(8):1234-1240. Epub 2018 Jul 19.

4 Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, Jordan.

Patients with cancer have an increased risk of venous thromboembolism. Upper extremity venous system is a peculiar site, and little is known about the clinical course in patients with cancer. Electronic medical records were searched for patients with cancer with a diagnosis of upper extremity venous thrombosis. Read More

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http://dx.doi.org/10.1177/1076029618788177DOI Listing
November 2018
5 Reads

Paget-Schroetter syndrome as a result of 1st rib stress fracture due to gym activity presenting with Urschel's sign - A case report and review of literature.

Int J Surg Case Rep 2018 20;49:81-86. Epub 2018 Jun 20.

Department of Orthopaedics, Sengkang General Hospital, Singapore. Electronic address:

Background: Paget-Schrotter Syndrome (PSS) also known as "effort thrombosis" is a form of primary thrombosis in the subclavian vein at the costoclavicular junction is usually seen in younger patients after repeated strenuous activity of the shoulders and arms. When occurring in younger patients, PSS presents itself with predisposing factors such as unilateral dull, aching pain in the shoulder or axilla and swelling of the arm and hand.

Case Presentation: We report a rare case of unusual left axillo-subclavian vein thrombosis following narrowing of thoracic outlet due to stress injury of rib fracture likely during gym activity in absence of other clear risk factors and a negative hypercoagulable workup in a 27-year-old man who was admitted as left deltoid rupture 5 days after his usual gym. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.05.029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6031594PMC
June 2018
22 Reads

Acute subclavian artery occlusion with associated clavicle fracture managed with bypass graft alone.

BMJ Case Rep 2018 Jun 28;2018. Epub 2018 Jun 28.

Department of Vascular and Endovascular Surgery, Barwon Health, Geelong, Victoria, Australia.

Subclavian artery injury is a rare consequence of clavicle fracture. It most often results from penetrating trauma but can result from blunt trauma with adjacent bone fragments causing rupture, pseudoaneurysm, dissection or thrombosis of the artery. If flow through the subclavian artery is compromised there is a risk of ipsilateral upper limb ischaemia. Read More

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http://dx.doi.org/10.1136/bcr-2018-224719DOI Listing
June 2018
15 Reads

Clinical outcomes of totally implantable venous access port placement via the axillary vein in patients with head and neck malignancy.

J Vasc Access 2018 Jun 1:1129729818781270. Epub 2018 Jun 1.

Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.

Purpose: To evaluate the clinical outcomes and complications of totally implantable venous access port implantation via the axillary vein in patients with head and neck malignancy.

Materials And Methods: A total of 176 totally implantable venous access ports were placed via the axillary vein in 171 patients with head and neck malignancy between May 2012 and June 2015. The patients included 133 men and 38 women, and the mean age was 58. Read More

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http://dx.doi.org/10.1177/1129729818781270DOI Listing
June 2018
6 Reads

Displaced midshaft clavicle fracture in athletes - should we operate?

Rev Bras Ortop 2018 Mar-Apr;53(2):171-175. Epub 2018 Feb 15.

Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Objective: To assess the results of the treatment of fractures of the middle third of the clavicle with a pre-contoured plate in athletes.

Methods: The authors performed 26 osteosyntheseis in 25 patients with fractures of the middle third of the clavicle. The fractures were classified according to Robinson as 16 type B1 and ten type B2. Read More

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http://dx.doi.org/10.1016/j.rboe.2018.02.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001394PMC
February 2018
4 Reads

Unusual collateral vessel from right subclavian vein to left atrium, a rare complication of superior vena cava obstruction.

Echocardiography 2018 08 10;35(8):1233-1236. Epub 2018 Jun 10.

Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

The most commonly reported collateral systems in the setting of superior vena cava obstruction are azygos venous system, vertebral venous system, external and internal thoracic venous system based on McLntire and Sykes classification. A 49-year-old female with renal disease complained dyspnea on exertion. Transesophageal echocardiography showed significant mitral annular calcification, large multi-lobulated mass at posterior aspect of RA, and complete obstruction of superior vena cava by thrombus formation. Read More

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http://dx.doi.org/10.1111/echo.14038DOI Listing
August 2018
1 Read
1.254 Impact Factor

Upper Extremity Deep Vein Thrombosis: Symptoms, Diagnosis, and Treatment.

Isr Med Assoc J 2018 Jan;20(1):53-57

Department of Internal Medicine B, Kaplan Medical Center, Rehovot, affiliated with Hebrew University-Hadassah Medical School, Jerusalem, Israel.

Background: Upper extremity deep vein thrombosis (UEDVT) is defined as thrombosis of the deep venous system (subclavian, axillary, brachial, ulnar, and radial veins), which drains the upper extremities. It can be caused by thoracic outlet anatomic obstruction, such as Paget-Schroetter syndrome, (primary) or by central intravenous catheters (secondary). UEDVT may be asymptomatic or present with acute severe pain and arm swelling. Read More

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January 2018
1 Read

Spontaneous bilateral subclavian vein thrombosis in a 40-year-old man: A case report.

Medicine (Baltimore) 2018 Apr;97(15):e0327

Department of Emergency Medicine, Kaohsiung Medical University Hospital.

Rationale: Paget-Schroetter syndrome (PSS) is an uncommon condition that refers to primary (spontaneous) thrombosis of the deep veins that drain the upper extremities because of anatomical anomalies or repetitive strenuous arm activity. Bilateral spontaneous upper extremity deep-vein thrombosis (UEDVT) is an extremely rare phenomenon in adults, which may be misdiagnosed by physicians in acute settings.

Patient Concerns: A 40-year-old man presented to our emergency department because of progressive left upper arm swelling for 1 day. Read More

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http://dx.doi.org/10.1097/MD.0000000000010327DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908591PMC
April 2018
3 Reads

Does the real-time ultrasound guidance provide safer venipuncture in implantable venous port implantation?

J Vasc Access 2018 May 27;19(3):297-302. Epub 2018 Mar 27.

3 Department of Surgery, Institute of Oncology, Istanbul University, Istanbul, Turkey.

Aim: To examine whether the real-time ultrasound-guided venipuncture for implantable venous port placement is safer than the traditional venipuncture.

Methods: The study analyzed the results of 2153 venous ports placed consecutively from January 2009 to January 2016. A total of 922 patients in group 1 and 1231 patients in group 2 were admitted with venous port placed using the traditional landmark subclavian approach and real-time ultrasound-guided axillary approach, respectively. Read More

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http://dx.doi.org/10.1177/1129729817752606DOI Listing
May 2018
7 Reads

Paget-Schroetter syndrome with bilateral pulmonary emboli.

Radiol Case Rep 2018 Feb 31;13(1):28-31. Epub 2017 Oct 31.

Department of Radiology, Eastern Virginia Medical School, PO Box 1980, Norfolk, VA 23501.

Paget-Schroetter syndrome, also known as effort thrombosis, is a relatively rare disease process characterized by primary thrombosis to the subclavian and axillary veins. It usually presents in younger individuals, commonly affecting the dominant side upper extremity, and the diagnosis relies on a combination of imaging, laboratory tests, and clinical presentation. Upper extremity deep vein thrombosis can also lead to pulmonary emboli, as in this case of a 20-year-old female discovered to have right sided Paget-Schroetter syndrome. Read More

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http://dx.doi.org/10.1016/j.radcr.2017.10.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5851115PMC
February 2018
5 Reads

A case report on 2 unique presentations of upper extremity deep vein thrombosis.

Medicine (Baltimore) 2018 Mar;97(11):e9944

Department of Vascular Surgery and Endovascular Therapy.

Rationale: Thoracic outlet syndrome (TOS) is a rare cause of upper extremity deep vein thrombosis (UEDVT). The treatment usually involves catheter directed thrombolysis followed by systemic anticoagulation. Surgical decompression is frequently recommended after anticoagulation for definitive therapy. Read More

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http://dx.doi.org/10.1097/MD.0000000000009944DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882399PMC
March 2018
3 Reads

Anticoagulation results in increased line salvage for children with intestinal failure and central venous thrombosis.

J Pediatr Surg 2018 May 7;53(5):1052-1055. Epub 2018 Feb 7.

Division of Pediatric Surgery, University of Texas Southwestern/Children's Health, Dallas, TX, United States. Electronic address:

Purpose: The purpose of this study was to investigate whether anticoagulation (AC) results in thrombus resolution and increased line longevity in children with intestinal failure (IF) and catheter-associated central venous thrombosis (CVT).

Methods: A retrospective, single institution review was performed of children with IF who were dependent on parenteral nutrition with known CVT between 2006 and 2017. Frequency of catheter-related complications including infection, occlusion, and breakage were compared 18months prior to and after starting AC. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.02.007DOI Listing
May 2018
2 Reads

Bilateral internal jugular vein thrombosis due to malignant tumor.

J Med Case Rep 2018 Feb 20;12(1):42. Epub 2018 Feb 20.

Clinic of Vascular Surgery, University Clinical Center of Kosovo, 10000, Pristina, Kosovo.

Background: The aim of the study was to analyze characteristics of patients with bilateral internal jugular vein thrombosis in our department during a 1-year period. Internal jugular vein thrombosis refers to an intraluminal thrombus occurring anywhere from the intracranial internal jugular vein to the junction of the internal jugular vein and the subclavian vein, which form the brachiocephalic vein. It can occur spontaneously or as a complication of head and neck infections, surgery, central venous lines, local malignancy, polycytemia, hyperhomocysteinemia, neck massage, or intravenous drug abuse. Read More

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http://dx.doi.org/10.1186/s13256-017-1556-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5819279PMC
February 2018
4 Reads

The infraclavicular approach for Paget-Schroetter syndrome.

Ann R Coll Surg Engl 2018 Feb;100(2):83-91

Cardiff and Vale University Health Board , UK.

Introduction Paget-Schroetter syndrome is a rare effort thrombosis of the axillary-subclavian vein, mainly occurring in young male patients. Current management involves immediate catheter directed thrombolysis, followed by surgical decompression of the subclavian vein. This has been invariably performed using a transaxillary or supraclavicular approach. Read More

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http://dx.doi.org/10.1308/rcsann.2017.0154DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838687PMC
February 2018
6 Reads

Thoracic outlet syndrome presenting with subclavian vein thrombosis.

JAAPA 2018 Feb;31(2):1-4

At the time this article was written, Paige E. Carpenetti was a student in the PA program at Marietta (Ohio) College. She now practices family medicine in China Grove, N.C. John M. Grosel is an associate professor in the Marietta College PA program and a radiologist at Riverside Radiology and Interventional Associates, Inc., in Columbus, Ohio. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Thoracic outlet syndrome can present with a wide variety of upper extremity neurovascular symptoms. Timely clinical recognition is essential for prompt treatment and maximal recovery. This article describes a case of thoracic outlet syndrome in a volleyball player with an underlying hypercoagulable state who presented with a subclavian vein thrombosis. Read More

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http://dx.doi.org/10.1097/01.JAA.0000529778.85059.ffDOI Listing
February 2018
3 Reads

Supraclavicular catheterization of the brachiocephalic vein: a way to prevent or reduce catheter maintenance-related complications in children.

Eur J Pediatr 2018 Mar 10;177(3):451-459. Epub 2018 Jan 10.

Pediatric Intensive Care Unit, Arnaud de Villeneuve Hospital, Montpellier University Hospital Center, Montpellier, France.

Placement of a central venous catheter (CVC) in the brachiocephalic vein (BCV) via the ultrasound (US)-guided supraclavicular approach was recently described in children. We aimed to determine the CVC maintenance-related complications at this site compared to the others (i.e. Read More

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http://dx.doi.org/10.1007/s00431-017-3082-xDOI Listing
March 2018
16 Reads

Outcomes following operative management of thoracic outlet syndrome in the pediatric patients.

Vascular 2018 Aug 4;26(4):410-417. Epub 2018 Jan 4.

1 Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houstan, TX, USA.

Objectives Thoracic outlet syndrome, a condition commonly reported in adults, occurs infrequently in the pediatric population. The objective of this study was to assess the outcome of surgical interventions of thoracic outlet syndrome in pediatric patients. Methods Clinical records of all pediatric patients with thoracic outlet syndrome who underwent operative repair from 2002 to 2015 in a tertiary pediatric hospital were reviewed. Read More

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http://dx.doi.org/10.1177/1708538117747628DOI Listing
August 2018
15 Reads

Postoperative Chylothorax of Unclear Etiology in a Patient with Right-sided Subclavian Central Venous Catheter Placement.

Anesth Essays Res 2017 Oct-Dec;11(4):1088-1090

Department of Anaesthesiology, Aga Khan University Hospital, Karachi, Pakistan.

A young male underwent decompressive craniotomy for an intracerebral bleed. A right-sided subclavian central venous catheter was placed in the operating room after induction of anesthesia. Postoperatively, he was shifted to Intensive Care Unit (ICU) for mechanical ventilation due to low Glasgow coma scale. Read More

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http://dx.doi.org/10.4103/aer.AER_54_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5735456PMC
December 2017
5 Reads

[Complications analysis of subcutaneous venous access port for chemotherapy in patients with gastrointestinal malignancy].

Zhonghua Wei Chang Wai Ke Za Zhi 2017 Dec;20(12):1393-1398

Department of Gastrointestinal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, China.

Objective: To describe and analyze the complications of subcutaneous venous access port for patients with gastrointestinal malignancy.

Methods: Data of 1 912 patients with gastrointestinal malignancy who accepted chemotherapy in our department via subcutaneous venous access ports, including 127 cases in upper arm, 865 cases in subclavicular vein and 920 cases in internal jugular vein, from June 2007 to April 2016 were analyzed retrospectively. Associated complications and risk factors were emphatically investigated. Read More

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December 2017
12 Reads

[Venous thromboembolic complications in patients with cardiovascular implantable electronic devices].

Angiol Sosud Khir 2017;23(4):69-74

Ryazan State Medical University named after Academician I.P. Pavlov, Ryazan, Russia.

The problem of venous thromboembolic complications (VTECs) in patients with cardiovascular implantable electronic devices (CIEDs) is extremely important today because of an annually increasing number of surgical interventions for life-threatening arrhythmias and chronic heart failure. There are hitherto no clearly defined reliable risk factors for VTECs due to heterogeneity of the available literature data. Some sources point to elevated thrombus formation in patients with a large number of electrodes, in repeat operative interventions, in the presence of a temporary pacemaker, in implantation on the left side, silicon cover of an electrode, others refute these facts. Read More

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March 2018
8 Reads

Percutaneous intervention to correct central venous port catheter malposition.

Perfusion 2018 07 11;33(5):404-406. Epub 2017 Dec 11.

1 Division of Interventional Cardiology, Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan.

The use of central venous port access is increasing due to the requirements of multimodal intravenous therapy. However, catheter malposition in smaller veins can lead to vein thrombosis, phlebitis and pain. Herein, we report our experience with the use of percutaneous interventions to correct migrated port catheter malposition. Read More

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http://dx.doi.org/10.1177/0267659117747376DOI Listing
July 2018
10 Reads

The blind pushing technique for peripherally inserted central catheter placement through brachial vein puncture.

J Vasc Surg 2018 03 16;67(3):860-867. Epub 2017 Nov 16.

Department of Surgery, Kangdong Seong-Sim Hospital, Hallym University College of Medicine, Seoul, Korea.

Objective: The objective of this study was to conduct a prospective clinical trial evaluating the technical feasibility and short-term clinical outcome of the blind pushing technique for placement of pretrimmed peripherally inserted central catheters (PICCs) through brachial vein access.

Methods: Patients requiring PICC placement at any of the three participating institutions were prospectively enrolled between January and December 2016. The review boards of all participating institutions approved this study, and informed consent was obtained from all patients. Read More

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http://dx.doi.org/10.1016/j.jvs.2017.09.016DOI Listing
March 2018
6 Reads

Upper Limb Deep Vein Thrombosis in Patient with Hemophilia A and Heterozygosity for Prothrombin G20210A: A Case Report and Review of the Literature.

Case Rep Hematol 2017 25;2017:7290945. Epub 2017 Sep 25.

Department of Medicine, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Deep vein thrombosis (DVT) is a rare disease in patients with hemophilia A. We report a case of 22-year-old male with severe hemophilia A who presented to the emergency room with 5-day history of right arm pain that was attributed initially to bleeding event. In the absence of external signs of bleeding or hematoma and normal hemoglobin level, we suspected an underlying DVT. Read More

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http://dx.doi.org/10.1155/2017/7290945DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5632882PMC
September 2017
16 Reads

Treatment of Paget-Schroetter syndrome with a three-stage approach including thoracoscopic rib resection at the second stage.

J Vasc Surg Venous Lymphat Disord 2018 01 9;6(1):75-82. Epub 2017 Nov 9.

Department of Vascular Surgery, Abdominal Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. Electronic address:

Objective: Young, active persons may suffer lifelong consequences of subclavian vein thrombosis, but the best treatment options remain unclear. On introduction of more active pharmacomechanical thrombus removal and thoracoscopic rib resection in our institution, we planned a diagnostic and treatment protocol and aimed to analyze the early, midterm, and intermediate-term results.

Methods: The study included 72 patients who were diagnosed with an upper limb deep venous thrombosis and underwent phlebography between 2006 and 2013. Read More

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http://dx.doi.org/10.1016/j.jvsv.2017.07.010DOI Listing
January 2018
5 Reads

Right Subclavian Venous Stent Fracture.

Eur J Vasc Endovasc Surg 2018 02 26;55(2):292. Epub 2017 Oct 26.

Department of Vascular Surgery, Hospital Nacional de Clínicas, Córdoba, Argentina; Sanatorio Allende, Córdoba, Argentina.

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http://dx.doi.org/10.1016/j.ejvs.2017.09.006DOI Listing
February 2018
3 Reads

Bringing to Light Symptoms and Treatments of Effort Thrombosis (Paget-Schroetter Syndrome) in the Military Population, a Case Study.

Mil Med 2017 05;182(5):e1826-e1829

Medical Clinic, Marine Corps Air Station Miramar, 2496 Bauer Road, San Diego, CA 92145.

Background: Effort thrombosis, or Paget-Schroetter Syndrome, is an activity-induced upper extremity deep vein thrombosis affecting the axillary and/or subclavian vein. It is a rare disorder affecting 2 per 100,000 person years and mainly occurring in young, active individuals after repetitive upper extremity exertion. Effective diagnosis and management of this disorder has been difficult to study given the syndrome's rarity. Read More

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http://dx.doi.org/10.7205/MILMED-D-16-00359DOI Listing
May 2017
4 Reads

Frequency of the Pectoralis Minor Compression Syndrome in Patients Treated for Thoracic Outlet Syndrome.

Ann Vasc Surg 2018 Feb 22;47:253-259. Epub 2017 Sep 22.

Department of Vascular and Thoracic Surgery, University Hospital, Angers, France.

Background: Pectoralis minor compression syndrome (PMCS) is a compression of the neurovascular structures in the subpectoral tunnel and remains underestimated in the management of patients with thoracic outlet syndrome (TOS). Its underdiagnosis may be responsible for incomplete or failed treatment. The aim of the study was to evaluate the frequency of PMCS in our experience. Read More

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http://dx.doi.org/10.1016/j.avsg.2017.09.002DOI Listing
February 2018
26 Reads

Safety and Feasibility of Temporary Superior Vena Cava Filter Combined with Balloon Dilatation and Catheter-Directed Thrombolysis for Catheter-Related Thrombosis.

Ann Vasc Surg 2018 Feb 8;47:69-77. Epub 2017 Sep 8.

Department of Radiology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Background: The objective was to evaluate the safety and feasibility of temporary superior vena cava (SVC) filter combined with balloon dilatation and catheter-directed thrombolysis for the treatment of catheter-related thrombosis (CRT) caused by implanted ports.

Methods: Between February 2014 and October 2016, 13 patients with implanted port-related CRT in internal jugular vein, brachiocephalic vein, and/or subclavian vein were treated by temporary SVC filter, balloon dilatation, and catheter-directed thrombolysis. Clinical data were retrospectively analyzed with respect to clinical characteristics, SVC filter placement and retrieval, balloon dilatation, and catheter-directed thrombolysis. Read More

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http://dx.doi.org/10.1016/j.avsg.2017.08.035DOI Listing
February 2018
15 Reads

Paget-Schroetter Syndrome Resulting from Thoracic Outlet Syndrome and KAATSU Training.

Intern Med 2017 Oct 6;56(19):2595-2601. Epub 2017 Sep 6.

Division of Cardiology, Toho University Ohashi Medical Center, Japan.

A 29-year-old woman who worked as a KAATSU (a type of body exercise that involves blood flow restriction) instructor visited our emergency room with a chief complaint of swelling and left upper limb pain. Chest computed tomography (CT) showed non-uniform contrast images corresponding to the site from the left axillary vein to the left subclavian vein; vascular ultrasonography of the upper limb revealed a thrombotic obstruction at the same site, leading to a diagnosis of Paget-Schroetter syndrome (PSS). We herein report our experience with a case of PSS derived from thoracic outlet syndrome (TOS), in a patient who was a KAATSU instructor. Read More

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http://dx.doi.org/10.2169/internalmedicine.7937-16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5658525PMC
October 2017
16 Reads

Radiographic Findings of Distressed Venous Stents and Inferior Vena Cava Filters: Clinical Implications.

AJR Am J Roentgenol 2017 Nov 31;209(5):1150-1157. Epub 2017 Aug 31.

1 Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, 1500 E Medical Center Dr, Ann Arbor, MI 48109.

Objective: The objective of our study was to describe an association between the radiographic appearance of distressed intravascular implants and venous stenosis or occlusion and to determine the success of reparative endovascular procedures.

Materials And Methods: Seventy-eight patients with distressed stents or inferior vena cava (IVC) filters characterized by pursing (short-axis contracture), straightening, longitudinal contraction (long-axis contracture), or fracture were identified from retrospective review of a venous registry for the period from February 2004 to October 2016. Patients originally presented with superior vena cava (SVC) syndrome (n = 25), arm swelling (n = 16), iliocaval thrombosis (n = 21), and lower extremity deep venous thrombosis (n = 16), and stents were initially placed in 65 and filters in 13. Read More

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http://dx.doi.org/10.2214/AJR.16.17750DOI Listing
November 2017
33 Reads

A case of upper extremity deep vein thrombosis with long-term patency using pharmaco-mechanical catheter-directed thrombolysis in the acute phase.

J Cardiol Cases 2017 Dec 31;16(6):194-198. Epub 2017 Aug 31.

Division of Cardiology, Joetsu General Hospital, Joetsu, Niigata, Japan.

Although upper-extremity deep vein thrombosis (UEDVT) is considered rare, its prevalence appears to be increasing, and this may be related to expanding indications for catheter-based interventions. In contrast, few cases have been reported related to strenuous exercise, especially in healthy young adults with thoracic outlet syndrome (Paget-Schroetter syndrome). In contrast to lower-extremity DVT, optimal treatment strategies for UEDVT have not been robustly studied. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18785409173007
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http://dx.doi.org/10.1016/j.jccase.2017.08.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149553PMC
December 2017
2 Reads

Central venous catheter-related thrombosis in intensive care patients - incidence and risk factors: A prospective observational study.

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2017 Dec 24;161(4):369-373. Epub 2017 Aug 24.

Department of Anaesthesiology and Intensive Care Medicine, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic.

Background: One of the complications associated with central venous catheter (CVC) placement is catheter related deep vein thrombosis (CR-DVT). However a literature search revealed little evidence of this recognised complication. The primary aim of this study was to establish the incidence rate and risk factors for the development of CR-DVT in our critically ill adult patients. Read More

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http://dx.doi.org/10.5507/bp.2017.034DOI Listing
December 2017
24 Reads

Paget-Schroetter syndrome in the absence of common predisposing factors: a case report.

Thromb J 2017 1;15:20. Epub 2017 Aug 1.

Department of Medicine, Northwell Health, New York, USA.

Background: Paget-Schrotter Syndrome (PSS) also known as "effort thrombosis" is a form of primary thrombosis in the subclavian vein at the costoclavicular junction is usually seen in younger patients after repeated strenuous activity of the shoulders and arms. When occurring in younger patients, PSS presents itself with predisposing factors such as unilateral dull, aching pain in the shoulder or axilla and swelling of the arm and hand.

Case Presentation: We report a rare case of unusual left axillo-subclavian vein thrombosis in absence of clear risk factors and a negative hypercoagulable workup in a 36-year-old Hispanic woman who presented with 2 days duration of left upper extremity pain and swelling after a week of heavy exercise in aerobic class. Read More

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http://dx.doi.org/10.1186/s12959-017-0146-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5537934PMC
August 2017
20 Reads

Percutaneous retrieval of a port-a-cath using a pigtail catheter combined with snaring technique.

Cardiovasc Revasc Med 2017 Dec 8;18(8):607-610. Epub 2017 Jul 8.

Interventional Cardiology Unit, Cardiology Division, Joan XXIII University Hospital, Universitat Rovira Virgili, Calle Dr Mallafré Guasch 4, 43007 Tarragona, Spain.

We present a case of a 63-year-old woman who underwent chemotherapy for breast cancer through a port-a-cath inserted in left subclavian vein. The device was withdrawn one year later due to jugular vein thrombosis plus dysfunction of the device. A few years later a chest X-ray for scrutinizing dyspnea showed a catheter located in right heart chambers. Read More

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http://dx.doi.org/10.1016/j.carrev.2017.07.001DOI Listing
December 2017
6 Reads

Recurrent Upper Extremity Thrombosis Associated with Overactivity: A Case of Delayed Diagnosis of Paget-Schroetter Syndrome.

Case Rep Vasc Med 2017 10;2017:8764903. Epub 2017 Jul 10.

Department of Internal Medicine, University of Toledo Medical Center, Toledo, OH, USA.

Paget-Schroetter syndrome is thrombosis of the axillary-subclavian vein that is associated with strenuous and repetitive activity of the upper extremities. Overuse of the arm coupled with external compression results in microtrauma in the intima of the subclavian vein, resulting in the activation of the coagulation cascade. Diagnosis is usually made by Doppler ultrasound and the treatment involves thrombolysis, while routine surgical decompression of the thoracic outlet is controversial. Read More

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http://dx.doi.org/10.1155/2017/8764903DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5523535PMC
July 2017
2 Reads

Paget-Schroetter syndrome complicated by an incidental pulmonary embolism.

BMJ Case Rep 2017 Aug 2;2017. Epub 2017 Aug 2.

Vascular Surgery, Dumfries and Galloway Royal Infirmary, Dumfries, Dumfries and Galloway, UK.

A young man presented with the severe right upper limb swelling following a heavy weight lifting that was thought to be caused by a biceps tendon rupture. However, subsequent investigations confirmed the diagnosis of Paget-Schroetter syndrome that was associated with an incidental pulmonary embolism. The patient underwent a successful thrombolysis followed by a surgical thoracic outlet decompression. Read More

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http://dx.doi.org/10.1136/bcr-2017-219982DOI Listing
August 2017
4 Reads

Paget-Schroetter Syndrome in a Baseball Pitcher.

Int Heart J 2017 Aug 13;58(4):637-640. Epub 2017 Jul 13.

Department of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.

Paget-Schroetter syndrome (PSS) is thrombosis of the deep veins draining the upper extremity due to anatomic abnormalities of the thoracic outlet that cause subclavian compression and subsequent thrombosis, leading to thrombus formation in the subclavian vein. Vigorous arm activity in sports is a known risk factor. Here, we report a case of Paget-Schroetter syndrome in a 31-year-old male non-professional baseball pitcher. Read More

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http://dx.doi.org/10.1536/ihj.16-447DOI Listing
August 2017
11 Reads

Pulmonary thromboendarterectomy in the setting of a mediastinal venous malformation with a congenitally absent left subclavian vein.

Pulm Circ 2017 Mar 1;7(1):256-260. Epub 2017 Feb 1.

Vascular Malformation Center, Swedish Medical Center, Englewood, CO, USA.

Venous malformations have static venous lakes that predispose to spontaneous venous thrombosis within the malformation due to its low-flow static state. Thrombi of varying sizes can then embolize continually into the pulmonary arterial circulation, and occlude and narrow elastic pulmonary arteries causing chronic thromboembolic pulmonary hypertension (CTEPH). Pulmonary thromboendarterectomy (PTE) is potentially curative in CTEPH, but has not been previously reported in the setting of mediastinal and chest wall venous malformations. Read More

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http://dx.doi.org/10.1086/689751DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5448542PMC
March 2017
36 Reads