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Comprehensive management of subclavian vein effort thrombosis.
[thoracic outlet syndrome]
Subclavian
vein
(
SCV
)
effort
thrombosis
,
also
known
as
the
Paget
-
Schroetter
syndrome
,
is
a
relatively
uncommon
condition
that
affects
young
,
active
,
otherwise
healthy
individuals
.
It
is
considered
a
form
of
thoracic
outlet
syndrome
,
arising
as
a
consequence
of
compression
and
repetitive
injury
of
the
SCV
between
the
first
rib
and
the
overlying
clavicle
,
as
well
as
the
anterior
scalene
muscle
,
subclavius
muscle
,
and
costoclavicular
ligament
.
Effort
thrombosis
is
distinct
from
other
forms
of
deep
vein
thrombosis
with
respect
to
pathophysiology
,
clinical
presentation
,
and
functional
consequences
,
and
it
requires
treatment
considerations
unique
to
effective
management
of
thoracic
outlet
compression
as
well
as
the
obstructed
SCV
.
In
this
review
the
comprehensive
management
of
SCV
effort
thrombosis
is
addressed
,
with
an
emphasis
on
current
interventional
radiology
techniques
used
in
conjunction
with
definitive
surgical
treatment
,
based
on
early
catheter-based
venography
,
thrombolytic
therapy
,
and
prompt
paraclavicular
thoracic
outlet
decompression
with
direct
SCV
reconstruction
.
Diseases
Validation
Diseases presenting
"first rib"
symptom
thoracic outlet syndrome
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