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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 5/2011

01-10-2011 | Review

Venous Thoracic Outlet Compression and the Paget-Schroetter Syndrome: A Review and Recommendations for Management

Authors: J. F. Thompson, R. J. Winterborn, S. Bays, H. White, D. C. Kinsella, A. F. Watkinson

Published in: CardioVascular and Interventional Radiology | Issue 5/2011

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Abstract

Paget Schroetter syndrome, or effort thrombosis of the axillosubclavian venous system, is distinct from other forms of upper limb deep vein thrombosis. It occurs in younger patients and often is secondary to competitive sport, music, or strenuous occupation. If untreated, there is a higher incidence of disabling venous hypertension than was previously appreciated. Anticoagulation alone or in combination with thrombolysis leads to a high rate of rethrombosis. We have established a multidisciplinary protocol over 15 years, based on careful patient selection and a combination of lysis, decompressive surgery, and postoperative percutaneous venoplasty. During the past 10 years, a total of 232 decompression procedures have been performed. This article reviews the literature and presents the Exeter Protocol along with practical recommendations for management.
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Metadata
Title
Venous Thoracic Outlet Compression and the Paget-Schroetter Syndrome: A Review and Recommendations for Management
Authors
J. F. Thompson
R. J. Winterborn
S. Bays
H. White
D. C. Kinsella
A. F. Watkinson
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 5/2011
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-011-0148-4

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