Rare Diseases Symptoms Automatic Extraction
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A random Abstract
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Changing strategies to treat venous thrombotic occlusions of the upper and lower extremities secondary to compressive phenomena.
[thoracic outlet syndrome]
We
reviewed
our
strategies
during
the
last
decade
for
deep
vein
thrombosis
(
DVT
)
of
the
upper
extremity
due
to
thoracic
outlet
syndrome
(
TOS
)
andthe
lower
extremity
.
Between
1998
and
2011
,
we
treated
31
patients
with
18
subclavian
DVTs
and
13
iliac
DVTs
.
Management
included
catheter-directed
thrombolysis
compared
to
mechanical
thrombolysis
(
MT
;
post
2006
)
.
Prior
to
2006
,
patients
with
TOS
were
treated
with
total
excision
of
the
first
rib
compared
to
excision
of
the
anterior
half
of
the
rib
.
Patients
were
followed
up
with
serial
duplex
ultrasounds
.
There
was
no
major
morbidity
and
no
mortality
in
these
31
patients
.
Three
patients
developed
recurrent
DVT
but
maintained
patency
after
further
treatment
.
Use
of
MT
has
led
to
shorter
treatment
duration
and
length
of
hospital
stay
.
Limiting
first
rib
resection
to
the
anterior
half
of
the
rib
shortened
operative
time
.
Patients
requiring
stents
had
excellent
long
-term
patency
rates
.