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Titolo:
A MULTIDISCIPLINARY APPROACH TO THE TREATMENT OF PAGET-SCHROETTER SYNDROME
Autore:
ADELMAN MA; STONE DH; RILES TS; LAMPARELLO PJ; GIANGOLA G; ROSEN RJ;
Indirizzi:
NYU,MED CTR,DEPT SURG,DIV VASC SURG,530 1ST AVE,SUITE 6F NEW YORK NY 10016 NYU,MED CTR,DEPT RADIOL NEW YORK NY 10016
Titolo Testata:
Annals of vascular surgery
fascicolo: 2, volume: 11, anno: 1997,
pagine: 149 - 154
SICI:
0890-5096(1997)11:2<149:AMATTT>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
SUBCLAVIAN VEIN-THROMBOSIS; LOCAL THROMBOLYTIC THERAPY; VENOUS THROMBOSIS; AXILLARY; MORBIDITY; ARM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
24
Recensione:
Indirizzi per estratti:
Citazione:
M.A. Adelman et al., "A MULTIDISCIPLINARY APPROACH TO THE TREATMENT OF PAGET-SCHROETTER SYNDROME", Annals of vascular surgery, 11(2), 1997, pp. 149-154

Abstract

To assess the results of thrombolytic therapy and surgical decompression of the thoracic outlet in the management of spontaneous axillary vein thrombosis (AVT), the records of 38 patients at New York University Medical Center (NYUMC) with AVT were reviewed. Excluded from this report were 20 patients who had AVT secondary to an underlying medical condition, a subclavian catheter, or a failed dialysis access graft. Ofthe 18 remaining patients with no underlying medical condition, all were found to have effort-related axillo-subclavian thrombosis, Paget-Schroetter syndrome. Urokinase was used for thrombolysis in 17 of the 18 patients, (94.4%) with complete lysis in 14 (82.4%). The remaining patient received anticoagulation only following a favorable response toan initial heparin infusion. Of the patients achieving complete thrombolysis, all but one received urokinase within 8 days of the onset of symptoms. Clot lysis revealed axillary vein compression secondary to athoracic outlet syndrome in II patients, and these underwent staged transaxillary thoracic outlet decompression by first rib resection. All17 patients have been followed for a mean of 21 months, and none receiving lytic therapy have reoccluded. Review of these data confirms earlier reports showing that with early diagnosis, thrombolysis and, if indicated, thoracic outlet decompression, patients with spontaneous AVTcan expect excellent clinical results with a good long-term prognosis.

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Documento generato il 22/10/20 alle ore 11:20:13