PMID: 8976351Dec 1, 1996Paper

Initial experience with venous stents in exertional axillary-subclavian vein thrombosis

Journal of Vascular Surgery
G H MeierR J Gusberg

Abstract

Exertional thrombosis of the axillary and subclavian veins, also known as Paget-Schrötter syndrome, has been increasingly recognized in recent years as a cause of long-term morbidity. Recent aggressive approaches to treating Paget-Schrötter syndrome have suggested the association of early failure with residual subclavian vein stenosis. As a result, the use of endoluminal stents has been proposed as an aid to venous percutaneous transluminal angioplasty for this disorder. This report outlines the therapy of 11 consecutive patients with Paget-Schrötter syndrome who were treated at our institution between October, 1992, and December, 1995. Stents were placed when percutaneous transluminal angioplasty was unsuccessful at achieving an adequate residual lumen. Stents were placed after initial thrombolysis in six patients and in late follow-up in two patients. Of the six patients who had stents placed at initial thrombolysis, first-rib resection was eventually performed in four. In two patients first-rib resection was not performed, and stent fracture occurred in both. Late patency was achieved in the stents of six of the eight patients. Trials to evaluate stents as an adjunct to conventional therapy seem warranted. The use of stents ...Continue Reading

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Citations

Mar 4, 2011·The New England Journal of Medicine·Nils Kucher
Nov 1, 2009·Sports Health·Brandon D BushnellThomas J Noonan
May 23, 2003·Journal of Vascular and Interventional Radiology : JVIR·Dheeraj K RajanMartin E Simons
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Sep 20, 2005·Seminars in Vascular Surgery·David J Caparrelli, Julie Freischlag
Jul 1, 2015·Annals of Vascular Surgery·Alexandros MalliosJohn Blebea
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