We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Pharmacomechanical Thrombolysis in the Management of Paget-Schroetter Syndrome.
- Authors
Papantoniou, Elli; Morgan-Rowe, Luke; Johnston, Edward; Brennand, Duncan; Raja, Jowad; Hague, Julian
- Abstract
Paget-Schroetter syndrome (PSS) is a rare form of thoracic outlet syndrome caused by axillosubclavian vein thrombosis which typically presents in healthy young adults. Prompt therapy, traditionally by means of catheter-directed thrombolysis (CDT) prior to definitive surgery, can prevent the subsequent onset of postthrombotic syndrome (PTS) and considerable disability. As CDT is associated with major haemorrhage and high overall treatment cost, pharmacomechanical thrombectomy (PMT) seems to be an attractive alternative which combines pharmacological thrombolysis with mechanical clot disruption. The Trellis-8 peripheral infusion catheter is an example of such a treatment which provides topical thrombolysis in an isolated zone. We describe the use of the Trellis-8 PMT system in the successful management of three patients with PSS.
- Subjects
UPPER extremity deep vein thrombosis; THORACIC outlet syndrome; THROMBOLYTIC therapy; THROMBOSIS; POSTTHROMBOTIC syndrome; HEMORRHAGE; RARE diseases; THERAPEUTICS
- Publication
Case Reports in Radiology, 2013, p1
- ISSN
2090-6862
- Publication type
Article
- DOI
10.1155/2013/214804