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- Title
Combined non-surgical treatment for Paget-Schröetter syndrome: a case report.
- Authors
Edo Fleta, Gemma; Torres Blanco, Álvaro; Gómez Palonés, Francisco; Ortiz Monzón, Eduardo
- Abstract
<bold>Background: </bold>Paget-Schröetter syndrome is an uncommon form of venous thrombosis, which is related to thoracic outlet syndrome. Axillary-subclavian vein thrombosis typically presents in healthy young adults. We present this case of particular interest because it indicates that a combined treatment involving thrombolysis, anticoagulation therapy, rehabilitation, and elastic compression sleeves can be a valid non-surgical alternative for some patients with Paget-Schröetter syndrome.<bold>Case Presentation: </bold>This report describes a case of a 38-year-old white woman, a swimmer, who presented with a sudden episode of swelling and pain in her right upper extremity. After duplex ultrasound diagnosis of venous thrombosis, computed tomography (CT) showed extrinsic compression of the vessel. Catheter-directed thrombolysis was performed in the first 24 hours, followed by anticoagulant therapy with bemiparin at a dose of 7500 IU/24 hours for the first week, and then reduced to 3500 IU/24 hours for the next 3 months. After treatment there was restoration of her venous flow and she returned to work 2 weeks later. Anticoagulant treatment was continued for 3 months; decompression surgery was not performed. At 6 months she was asymptomatic.<bold>Conclusion: </bold>Combined treatment involving thrombolysis, anticoagulant therapy, rehabilitation, and elastic compression sleeves may be a valid non-surgical alternative for a selected subset of patients with Paget-Schröetter syndrome.
- Subjects
COMPUTED tomography; UPPER extremity deep vein thrombosis; THROMBOLYTIC therapy; DIAGNOSTIC ultrasonic imaging; THERAPEUTICS
- Publication
Journal of Medical Case Reports, 2016, Vol 10, p1
- ISSN
1752-1947
- Publication type
journal article
- DOI
10.1186/s13256-016-0940-5