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FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

Rivista di Chirurgia Vascolare ed Endovascolare

Official Journal of the Italian Society of Vascular and Endovascular Surgery
Indexed/Abstracted in: EMBASE, Scopus

Periodicità: Trimestrale

ISSN 1824-4777

Online ISSN 1827-1847

 

Italian Journal of Vascular and Endovascular Surgery 2008 Dicembre;15(4):265-71

 REVIEWS

Paget-Schroetter syndrome

Urschel, H. C., Jr.

Baylor University Medical Center, Dallas, TX, USA

In Paget-Schroetter syndrome, recognition that a congenitally lateral insertion of the costoclavicular ligament on the first rib causes venous occlusion and the earlier the diagnosis and treatment, the better the results (less than six weeks seems to give excellent results, whereas longer intervals are not quite as good). Early venogram with thrombolytic agents to open the thrombosed axillary subclavian vein is the preferred treatment. Prompt transaxillary first rib resection and neurovascular decompression, particularly in the area of the axillary subclavian venous canal, should be expedited. Anticoagulants did not appear helpful after this procedure.

lingua: Inglese


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