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Venographic classification and long-term surgical treatment outcomes for axillary-subclavian vein thrombosis due to venous thoracic outlet syndrome (Paget-Schroetter syndrome).

Author: DadashzadehEsmaeel Reza, GoestenkorsDanita M, HendersonKaren M, KavaliPavan K, OhmanJ Westley, ThompsonRobert W

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.

Overview

Paraclavicular decompression, external venolysis, and selective AxSCV reconstruction determined by intraoperative venography findings can provide successful and durable treatment for >90% of all patients with VTOS. The use of catheter-directed thrombolysis or thrombectomy (CDT) at the initial diagnosis was associated with a 32% lower likelihood of needing AxSCV reconstruction at surgery and a 60% lower likelihood of arm swelling at follow-up.
Paper Details　
Original Abstract of the Article :
OBJECTIVE: We assessed the clinical presentation, operative findings, and surgical treatment outcomes for axillary-subclavian vein (AxSCV) thrombosis due to venous thoracic outlet syndrome (VTOS). METHODS: We performed a retrospective, single-center review of 266 patients who had undergone primary ...See full text at original site
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引用元：
https://doi.org/10.1016/j.jvs.2022.11.053

データ提供：米国国立医学図書館（NLM）

Understanding and Treating Paget-Schroetter Syndrome: A Surgical Approach

Paget-Schroetter syndrome, a rare but debilitating condition, involves thrombosis (blood clotting) in the axillary-subclavian vein due to compression in the thoracic outlet. This study explores the clinical presentation, operative findings, and surgical treatment outcomes for patients with Paget-Schroetter syndrome. The researchers aimed to provide a comprehensive understanding of this condition and guide surgical decision-making.

Paraclavicular Decompression and External Venolysis: Effective Surgical Approaches

The study found that a combination of paraclavicular thoracic outlet decompression and external venolysis, a procedure that removes scar tissue surrounding the vein, achieved successful and durable treatment outcomes for more than 90% of patients. The study also highlighted the importance of intraoperative venography, a procedure that visualizes the veins, in guiding surgical treatment decisions. This research is like a roadmap through the complex terrain of Paget-Schroetter syndrome, helping surgeons navigate the best path to successful treatment.

What Does This Mean for Patients with Paget-Schroetter Syndrome?

This research offers a valuable guide for patients with Paget-Schroetter syndrome. The study provides a comprehensive overview of the condition, surgical treatment options, and their effectiveness. This knowledge empowers patients to make informed decisions about their care and seek out qualified surgeons with expertise in this area.

Dr.Camel's Conclusion

Paget-Schroetter syndrome, a challenging condition, has finally found a beacon of hope in the desert of vascular surgery. This research sheds light on the effectiveness of paraclavicular decompression and external venolysis, offering patients a chance to regain their mobility and quality of life. It is a reminder that even in the most complex medical landscapes, a skilled surgeon's hands can create pathways to healing.

Date :
  1. Date Completed 2023-02-27
  2. Date Revised 2023-09-01
Further Info :

Pubmed ID

36442701

DOI: Digital Object Identifier

10.1016/j.jvs.2022.11.053

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Article Analysis
・Effective treatment of thoracic outlet syndrome
SNS
PICO Info
in preparation
Languages

English

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