medigraphic.com

2003, Number 3

<< Back Next >>

Med Sur 2003; 10 (3)

Paget-Schröetter disease

Herrera GM, Chávez-Tapia NC, Lizardi CJ

Language: Spanish
References: 19
Page: 132-136
PDF size: 54.54 Kb.


ABSTRACT

Little is known about the clinical manifestations, diagnostic, and prognosis of upper-extremity deep vein thrombosis. To identify the clinical and laboratory parameters associated with this disease, to assess the diagnostic accuracy of ultrasonographic methods and to establish the frequency of both early and late complications we showed an axilar vein thrombosis developed in a previous health patient. Serial phlebograms showed progression of venous thrombosis before and after fibrinolytic therapy with streptokinase and heparin, it may be the treatment of choice for this condition if certain contraindications are absent. Doppler imaging are accurate methods for its detection. A pulmonary embolism is a common complication of the disease. Finally, this disorder may recur and may be followed by postthrombotic sequelae and surgery has to development 30 days after thrombolysis therapy.


REFERENCES

  1. Paget J. Practice among the out-patients of St Bartholomew ´s Hospital: III, on some affections on voluntary muscles. Med Times Gazette 1858; 16: 260-261.

  2. Von Schröetter L. Erkrankungen der Gafabe. In: Nothnagel H. editor. Specielle Pathologie und Therapie, XV, II, Theil II. Halfe: Erkrankungen der Venen. Viena: Holder; 1899, p 533-535

  3. Prandoni P, Polistena P, Bernardi E, Cogo A, Casara D, Verlat F, Amgelini F, Simioni P, Signorini GP, Benedetii L, Girolami A. Upper-extremity deep vein thrombosis: risk factor, diagnosis and complications. Arch Int Med 1997; 157: 57-62.

  4. Harley DP, White RA, Nelson RJ, Mehringer LM. Pulmonary embolism secondary to venous thrombosis of the arm. Am J Surg 1984; 147; 221-224.

  5. De Weese Ja, Adams JT, Gaiser DL. Subclavian venous thrombectomy. Circulation 1970; 41 (5 Suppl):II 158-II164.

  6. Rubenstein M, Creger WP. Successful streptokinase therapy for catheter – induced subclavian vein thrombosis. Arch Int Med 1980; 140: 1370-1371.

  7. Drury EM, Trout HH, Giordano JM, Hix WR. Lytic therapy in the treatment of axillary and subclavian vein thrombosis. J Vasc Surg 1985: 2: 821-827.

  8. AbuRahma AF, Sadler D, Stuart P, Khan MZ, Boland JP, Convencional versus thrombolytic therapy in spontaneous (effort) axillary-subclavian vein trombosis. Am J Surg 1991; 57: 101-107.

  9. Kunkel JM, Machleder HI, Treatment of Paget-Schröetter syndrome: a staged, multidisciplinary approach. Arch Surg 1989; 124: 1153-1158.

  10. Urschel HC Jr, Razzuk MA. Paget-Schröetter syndrome: What is the best management? Ann Thorac Surg 2000; 69: 1663-1669.

  11. Machleder HI. Evaluation of a new treatment strategy for Paget-Schröetter syndrome: spontaneous thrombosis of the axillary subclavian vein. J Vasc Surg 1993; 17: 305-317.

  12. Molina JE. Need for emergency treatment in subclavian vein effort thrombosis. Am J Coll Surg 1995; 181: 414-420.

  13. Angle N, Gelabert HA, Farooq MM. Ahn SS, Cardwell DR. Freischlag JA, Machleder HI. Safety and efficacy of early surgical decompression of the thoracic outlet for Paget-Schröetter syndrome. Ann Vasc Surg 2001; 15: 37-42.

  14. Lee MC, Gras CJ, Belkin M, Mannick JA, Whittemore AD, Donaldson MC. Early operative intervention after thrombolysis therapy for primary subclavian thrombosis: an effective treatment approach. J Vasc Surg 1998; 27: 1101-1108.

  15. Lee WA, Hill BB, Harris EJ, Semba CP, Olcott C. Surgical intervention is not required for all patients with subclavian vein trombosis. J Vasc Surg 2000; 32: 57-67.

  16. Kreienberg PB, Chang BB, Darling RL, Roddy SP, Paty PSK, Lloyd WE, Cohen D, Stainken B, Shah DM. Long-term results in patients treated with thrombolysis. Thoracic inlet decompression. And subclavian vein stenting fot Paget-Schröetter syndrome. J Vasc Surg 2001; 33: 5100-5105.

  17. Héron E, Lozinguez O, Alhenc-Gelas M Emmerich J, Fiessenger JN. Hypercoagulable states in primary upper extremitiy deep venous thrombosis. Arch Intern Med 2000; 160: 382-386.

  18. Rutherfod RB. Primary subclavian axillary vein thrombosis: the relative rolses of thrombolysis, percutaneous angioplasty, stents and surgery. Semin Vasc Surg 1998; 11: 91-95.

  19. Lokanathan R, Salvian AJ, Chen JC, Morris C, Taylor DC, Hsiang N. Outcome after thrombolysis and selective thoracic outlet decompression for primary axillary vein thrombosis. J Vasc Surg 2001; 33: 783-788.




2020     |     www.medigraphic.com