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Percutaneous thrombectomy in the management of early rethrombosis in venous thoracic outlet syndrome: two case reports
CVIR Endovascular Pub Date : 2021-08-06 , DOI: 10.1186/s42155-021-00250-6
Ján Sýkora 1 , Kamil Zeleňák 1 , Martin Vorčák 1 , Adam Krkoška 1 , Štefánia Vetešková 1 , Martina Sýkorová 2 , Jozef Sivák 3 , Ľuboš Hlinka 4 , Igor Šinák 4
Affiliation  

Venous thoracic outlet syndrome resulting in the upper limb deep venous thrombosis is known as Paget–Schroetter syndrome or effort thrombosis. A general treatment algorithm includes catheter-directed thrombolysis followed by surgical thoracic outlet decompression. There are limited data regarding endovascular treatment of rethrombosis presenting early after the surgery. Two cases of early rethrombosis successfully treated with percutaneous mechanical thrombectomy by two different techniques are described. In both cases, rethrombosis was diagnosed soon after thrombolysis and first rib resection with scalenectomy. After 12 months, both patients remain symptom-free, with patent subclavian veins confirmed by duplex ultrasonography. Percutaneous mechanical thrombectomy devices may offer a safe treatment option for patients with recurrent thrombosis after thoracic outlet surgery, even when thrombolytic therapy is contraindicated.

中文翻译:

经皮取栓治疗静脉胸廓出口综合征早期再血栓形成:2例报告

导致上肢深静脉血栓形成的胸静脉出口综合征被称为 Paget-Schroetter 综合征或努力血栓形成。一般的治疗流程包括导管定向溶栓,然后是手术胸廓出口减压。关于术后早期出现的血栓形成的血管内治疗的数据有限。描述了通过两种不同技术经皮机械取栓术成功治疗早期再血栓形成的两例病例。在这两种情况下,溶栓和第一根肋骨切除术和斜角肌切除术后不久就诊断出血栓形成。12 个月后,两名患者均无症状,双功能超声证实锁骨下静脉通畅。
更新日期:2021-08-07
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