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Hybrid management of Paget-Schroetter syndrome due to thoracic outlet syndrome.
[thoracic outlet syndrome]
Paget
-
Schroetter
syndrome
due
to
thoracic
outlet
syndrome
is
a
rare
but
potentially
disabling
condition
that
generally
affects
young
patients
otherwise
healthy
.
The
prompt
diagnosis
and
treatment
of
Paget
-
Schroetter
syndrome
is
necessary
to
avoid
major
morbidity
and
long
-term
disability
.
The
more
modern
treatment
paradigm
reported
in
the
current
literature
consists
of
hybrid
procedures
with
surgical
decompression
of
the
thoracic
outlet
and
endovascular
techniques
to
potentially
improve
long
-term
vein
patency
.
However
,
there
seems
to
be
no
consensus
in
the
literature
with
regard
to
the
timing
and
precise
nature
of
active
management
,
and
there
is
presently
no
agreed
protocol
for
the
optimum
management
of
Paget
-
Schroetter
syndrome
.
Controversy
exists
partly
because
no
randomised
controlled
studies
are
present
in
literature
.
We
present
a
case
of
Paget
-
Schroetter
syndrome
due
to
thoracic
outlet
syndrome
in
a
young
male
patient
submitted
to
a
multimodal
procedure
.