Upper Extremity Thrombosis Associated with Overactivity: A Comprehensive review article on Paget-Schroetter Syndrome

Abstract

Paget–Schroetter disease, is a form of deep vein thrombosis (DVT) in upper extremity, in which bloodclots occurs in the deep veins of the arms. Paget–Schroetter disease syndrome is accounts for 30–40%of spontaneous axillary-subclavian vein thrombosis (ASVT) and for 10–20% of all upper extremity deepvenous thrombosis (UEDVT). Important predisposing factors for UEDVT include indwelling hardware,occult or overt malignancy and other thrombophilic states. Clinical manifestations include heaviness,cyanosis, redness, and dilated, visible veins across the upper arm and shoulder. It is diagnosed by compressionultrasonography with the help of colour Doppler. Thrombosis was managed conservatively with limbelevation and anticoagulation therapy. Hence, there is a need for increasing health workers awareness aboutrisk factors, etiology and the management of this unique and relatively uncommon disorder.