Endovascular Treatment of Paget-Schroetter Disease

Abstract

The paper describes a case of endovascular treatment of a patient with Paget Schroetter syndrome (PSS), who had verified thrombosis of the brachial, axillary and subclavian veins. The main etiological factor of venous thrombosis was hyperabduction syndrome compression of the subclavian vein by the pectoralis minor muscle during arm movement. The indication for endovascular treatment was acute venous insufficiency of the upper limb with the developing threat of phlegmasia cerulea dolens. Regional catheter thrombolysis was performed using alteplase. There was a lysis of thrombotic masses with beneficial long-term clinical outcomes of the patient's treatment.