Multidisciplinary Management of Paget-Schroetter Syndrome. A Case Series of Eight Patients

• Published in: Archivos de bronconeumología (English ed.) 2015-08, Vol.51 (8), p.e41-e43
• Main Authors: Rosa Salazar, Vladimir, Otálora Valderrama, Sonia del Pilar, Hernández Contreras, María Encarnación, García Pérez, Bartolomé, Arroyo Tristán, Andrés del Amor, García Méndez, María del Mar
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Anticoagulants - administration & dosage; Anticoagulants - therapeutic use; Combined Modality Therapy; Cumulative Trauma Disorders - drug therapy; Cumulative Trauma Disorders - etiology; Cumulative Trauma Disorders - surgery; Decompression, Surgical; Disease Management; Disease-Free Survival; Effort thrombosis; Endovascular Procedures; Female; Heparin, Low-Molecular-Weight - administration & dosage; Heparin, Low-Molecular-Weight - therapeutic use; Humans; Interdisciplinary Communication; Internal Medicine; Male; Neck Muscles - surgery; Occupational Diseases - drug therapy; Occupational Diseases - etiology; Occupational Diseases - surgery; Paget-Schroetter syndrome; Patient Care Team; Postthrombotic Syndrome - prevention & control; Prospective Studies; Pulmonary/Respiratory; Recurrence; Ribs - surgery; Síndrome de la salida del tórax; Síndrome de Paget-Schroetter; Thoracic outlet syndrome; Thrombolytic Therapy; Trombosis de esfuerzo; Trombosis venosa profunda de extremidad superior; Upper extremity deep vein thrombosis; Upper Extremity Deep Vein Thrombosis - drug therapy; Upper Extremity Deep Vein Thrombosis - etiology; Upper Extremity Deep Vein Thrombosis - surgery; Upper Extremity Deep Vein Thrombosis - therapy; Weight Lifting; Young Adult
• ISSN: 1579-2129; 1579-2129
• DOI: 10.1016/j.arbr.2015.05.026

Abstract Paget-Schroetter syndrome (PSS) in the context of upper extremity deep venous thrombosis (DVT) is an uncommon but potentially very serious condition affecting young, healthy adults, in which secondary post-thrombotic syndrome (PTS) can be a complication with major implications. The best treatment option remains controversial, with current guidelines recommending anticoagulation for at least 3 months. However, an incidence of PTS of approximately 50% after 6 months, 30% after 1 year and 25% after 2 years has been found using this therapeutic approach. Consequently, specialized units recommend local thrombolysis and early decompressive surgery. We describe a series of eight cases treated in this way. None of the patients showed signs of complications, and an early return to regular activities with no PTS was observed in 90% of cases.