Paget-Schroetter Syndrome Resulting from Thoracic Outlet Syndrome and KAATSU Training

A 29-year-old woman who worked as a KAATSU (a type of body exercise that involves blood flow restriction) instructor visited our emergency room with a chief complaint of swelling and left upper limb pain. Chest computed tomography (CT) showed non-uniform contrast images corresponding to the site fro...

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Bibliographic Details
Published in:Internal Medicine 2017/10/01, Vol.56(19), pp.2595-2601
Main Authors: Noto, Tatsunori, Hashimoto, Go, Takagi, Takahito, Awaya, Toru, Araki, Tadashi, Shiba, Masanori, Iijima, Raisuke, Hara, Hidehiko, Moroi, Masao, Nakamura, Masato, Sugi, Kaoru
Format: Article
Language:English
Subjects:
Adult
Anticoagulants - therapeutic use
Blood flow
Blood Flow Velocity - drug effects
Case Report
Catheters
Computed tomography
Emergency medical care
Emergency medical services
Female
Humans
Image contrast
Internal medicine
KAATSU training
Paget-Schroetter syndrome
Pain
Subclavian Vein - diagnostic imaging
Subclavian Vein - physiopathology
thoracic outlet syndrome
Thoracic Outlet Syndrome - complications
Thoracic Outlet Syndrome - diagnostic imaging
Thoracic Outlet Syndrome - physiopathology
Thorax
Tomography, X-Ray Computed
Treatment Outcome
Ultrasound
Upper Extremity - diagnostic imaging
Upper Extremity - physiopathology
Upper Extremity Deep Vein Thrombosis - diagnostic imaging
Upper Extremity Deep Vein Thrombosis - drug therapy
Upper Extremity Deep Vein Thrombosis - etiology
Upper Extremity Deep Vein Thrombosis - physiopathology
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Description
Summary:A 29-year-old woman who worked as a KAATSU (a type of body exercise that involves blood flow restriction) instructor visited our emergency room with a chief complaint of swelling and left upper limb pain. Chest computed tomography (CT) showed non-uniform contrast images corresponding to the site from the left axillary vein to the left subclavian vein; vascular ultrasonography of the upper limb revealed a thrombotic obstruction at the same site, leading to a diagnosis of Paget-Schroetter syndrome (PSS). We herein report our experience with a case of PSS derived from thoracic outlet syndrome (TOS), in a patient who was a KAATSU instructor.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.7937-16