Case Of Paget-Schroetter Syndrome Research Articles

Синдром Педжета–Шреттера у пациентки, занимающейся водными видами спорта

This article describes a case of Paget-Schroetter syndrome in a female water polo player. The condition was associated with strenuous exercise. The initial treatment strategy was limited to a 14-day heparin regimen followed by a course of diosmin and sulodexide. The article discusses the high risk of post-thrombotic syndrome in this cohort of patients and the rationale for a surgical intervention.

Arm Pain and Swelling in a College Swimmer: A Case of Paget-Schroetter Syndrome.

A 20-year-old male swimmer presented to the emergency department with right arm pain and swelling several days after a weight training session following swim team practice. The initial diagnosis was muscle strain, and the patient was discharged. The next day, he was evaluated by his swim team physician, who ordered right upper extremity duplex ultrasonographic imaging, which revealed no flow and thrombosis in the subclavian and axillary veins, and Paget-Schroetter syndrome was diagnosed. He subsequently had a mechanical thrombectomy and catheter-directed thrombolysis was initiated with placement of a lytic catheter for continuous infusion of tissue type plasminogen activator.

経皮的血管形成術(PTA)と直接経口抗凝固薬(DOAC)が有効であったPaget-Schroetter症候群の1例

経皮的血管形成術(PTA)と直接経口抗凝固薬(DOAC)が有効であったPaget-Schroetter症候群の1例

Effort Thrombosis Provoked by Saxophone Performance.

Internal jugular venous thrombosis (IJVT) is an uncommon condition rarely diagnosed in the outpatient setting. IJVT carries significant morbidity and mortality and must be considered in the differential diagnosis for new-onset neck pain and swelling, especially in the emergency setting. Paget-Schroetter syndrome (PSS), or primary thrombosis secondary to effort, is an uncommon, likely under-recognized etiology of thrombosis. We report a case of PSS extending from the right subclavian vein into the right internal jugular vein, suspected based upon patient history and physical examination and confirmed by point-of-care ultrasound (POCUS). We then review the presentation, causes, and diagnostic standards for PSS. We present a case of a 79-year-old man who presented to the Emergency Department with acute right-sided neck pain 1day after playing the saxophone for 4h the prior evening. POCUS confirmed Paget-Schroetter syndrome, or primary effort thrombosis of the internal jugular vein. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: To our knowledge, this is the first documented case of PSS resulting from venous stasis with prolonged Valsalva maneuver and vascular trauma with activity of playing the saxophone. The significance of this case is the unusual etiology of a rare presentation and the ability to diagnose this condition quickly and accurately with POCUS.

Paget-Schroetter: Primary Axillo-subclavian Vein Thrombosis in a Young Patient

Upper extremity (UE) deep venous thrombosis (DVT) is much less common than lower extremity DVT. Primary UE DVT, that which occurs in the absence of known risk factors is quite rare. We present a case of Paget-Schroetter Syndrome (PSS) also known as “Effort Thrombosis,” in a healthy young woman likely brought on by thoracic outlet syndrome (TOS). Our patient developed an UE DVT with minimal symptoms. Ultrasound, and then angiogram demonstrated a dense, long clot in the axillo-subclavian vein. Symptoms improved after catheter-directed thrombolysis although it was only partially successful. A narrowed region of the subclavian vein persists where it exits the thoracic outlet. Clinicians need to be aware of the unusual diagnosis as treatment can improve symptoms and facilitate recovery.

A case of Paget-Schroetter syndrome, or effort thrombosis of axillary-subclavial vein

A case of Paget-Schroetter syndrome, or effort thrombosis of axillary-subclavial vein

Paget–Schroetter Syndrome Treated with Cutting-Balloon Angioplasty

Here, a case of Paget-Schroetter Syndrome in a 25-year-old guitar player is reported. After thrombolysis, conventional angioplasty failed to dilate the underlying subclavian stenosis both before and after first-rib excision with scalenus anterior and medius division. For the third attempt at angioplasty, a cutting balloon was used, which immediately produced a good result. Venography at 4-year follow-up showed no restenosis and no functional deficit. This case report demonstrates that cutting-balloon angioplasty may be considered when conventional balloon fails and may have greater durability than conventional balloon angioplasty in the treatment of Paget-Schroetter syndrome.